体外膜肺氧合治疗继发性免疫缺陷并发重症肺部感染

doi:10.3969/j.issn.1006-298X.2019.05.019

肾脏病与透析肾移植杂志

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体外膜肺氧合治疗继发性免疫缺陷并发重症肺部感染

出版日期:2019-12-28 发布日期:2020-01-19

Extracorporeal membrane oxygenation combined with continuous renal replacement therapy for a case of severe pulmonary infection due to secondary immunodeficiency

Online:2019-12-28 Published:2020-01-19

摘要/Abstract

摘要： 44岁男性IgA肾病患者，激素联合免疫抑制剂2月，继发免疫缺陷和重症肺部感染，氧合指数进行性下降，机械通气无改善，在抗感染治疗同时，给予体外膜肺氧合(ECMO)联合连续性肾脏替代治疗生命支持治疗，感染控制，顺利撤离ECMO，好转出院。

关键词: 免疫缺陷, 体外膜肺氧合, 连续性肾脏替代治疗, 重症肺部感染

Abstract: A 44yearold male patient with IgA nephropathy for 2 months,led to immunodeficiency after steroid and immunosuppressant treatment,supervened suffer from severe pulmonary infection.The oxygenation index progressively decreased after mechanical ventilation,and under the treatment of antiinfection,the patients were given with continuous renal replacement therapy(CRRT) combined with extracorporeal membrane oxygenation(ECMO),and the infection was successfully cured,ECMO was evacuated and the patient was discharged successfully.

Key words: immunodeficiency, extracorporeal membrane oxygenation, continuous renal replacement therapy, severe pulmonary infection

许书添，孙强，董建华，等. 体外膜肺氧合治疗继发性免疫缺陷并发重症肺部感染[J]. 肾脏病与透析肾移植杂志, DOI: 10.3969/j.issn.1006-298X.2019.05.019.

XU Shutian,SUN Qiang,DONG Jianhua, et al. Extracorporeal membrane oxygenation combined with continuous renal replacement therapy for a case of severe pulmonary infection due to secondary immunodeficiency[J]. Chinese Journal of Nephrology, Dialysis & Transplantation, DOI: 10.3969/j.issn.1006-298X.2019.05.019.

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ISSN 1006-298X CN 32-1425/R

体外膜肺氧合治疗继发性免疫缺陷并发重症肺部感染

Extracorporeal membrane oxygenation combined with continuous renal replacement therapy for a case of severe pulmonary infection due to secondary immunodeficiency

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