急性重症病毒性心肌炎合并6脏器功能衰竭救治成功的探讨

Successful treatment of a patient with six-organ-failure

目的 报道成功救治 1例急性重症病毒性心肌炎并发多脏器功能衰竭 (MOF)患者。方法 在救治过程中 ,对脏器功能和内环境进行了严密监测 ,联合应用了多种正性肌力和血管活性药物 ,使用临时起搏器和主动脉内球囊反搏 ,建立人工通气 ,应用持续静脉血液滤过 (CVVH)技术 ,予以保肝降酶药 ,有效控制全身严重感染 ,进行肠外和肠内营养支持。结果 患者多脏器功能恢复正常 ,康复出院。结论 强调了在严密监测下早期支持脏器功能 。

Objective Successful treatment of a patient with severe virus myocarditis complicated with six-organ-failure was reported.Methods In the period of treatment,we continuously monitored the physiological function,applied sympathomimetics and vasoactive drugs,employed temporary cardiac pacemaker,intro-aortic balloon counterpulsation and artificial ventilation,established continuous veno-venous hemofiltration,controlled severe sepsis and provide adequate enteral and parenteral nutrition.Results After 75-day treatment,the function of all organs was recovered.Conclusion The successful treatment depends on close monitoring of physiological function,early supportive measures of multiple organs,controlling sepsis syndrome and adequate nutrition.