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  

作　　者：Chun-Yan Zhu Ai-Jun Pan Qing Mei Ting Chen 

机构地区：[1]Department of Critical Care Medicine,The First Affiliated Hospital of USTC,Hefei 230032,China [2]Department of Critical Care Medicine,The Second People's Hospital of Hefei,Hefei 230009,China

出　　处：《Chinese Journal of Traumatology》2020年第6期372-375,共4页中华创伤杂志（英文版）

摘　　要：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.

关 键 词：Extracorporeal membrane oxygenation Continuous renal replacement therapy SEPSIS REFRACTORY 

分 类 号：R692.5[医药卫生—泌尿科学]