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| Chun-Yan Zhu,Ai-Jun Pan,Qing Mei,Ting Chen.[J].Chin J Traumatol,2020,23(6):372-375. [doi] |
| Successful cure of a patient with urosepsis using a combination of extracorporeal membrane oxygenation and continuous renal replacement therapy: A case report and literature review |
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| DOI： |
| KeyWord: Extracorporeal membrane oxygenationContinuous renal replacement therapySepsisRefractory |
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| Author Name | Affiliation | | Chun-Yan Zhu | Department of Critical Care Medicine, The First Affiliated Hospital of USTC, Hefei 230032, China | | Ai-Jun Pan | Department of Critical Care Medicine, The First Affiliated Hospital of USTC, Hefei 230032, China | | Qing Mei | Department of Critical Care Medicine, The First Affiliated Hospital of USTC, Hefei 230032, China | | Ting Chen | Department of Critical Care Medicine, The Second People's Hospital of Hefei, Hefei 230009, China |
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| Abstract: |
| Holmium laser lithotripsy (HLL) is one of the common surgical methods for urolithiasis. It causes minor surgical trauma, but complications are not rare. Extracorporeal membrane oxygenation (ECMO) treatment of sepsis is common, but venoarterial (VA)-ECMO treatment of urosepsis has not been reported yet. In this article, we reported a 67-year-old female patient with refractory septic shock caused by HLL under percutaneous nephroscope, involving breathing, heart, kidney and other organs, and organs support treatment was ineffective for the patient. Finally, we successfully treated the patient under VA-ECMO with continuous renal replacement therapy (CRRT). Combined ECMO and CRRT may provide a solution for addressing refractory sepsis. Here we present the case and review relevant literature, so as to provide a treatment strategy for patients with refractory urogenic sepsis and to reduce the mortality rate. |
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