A Child of Severe Mycoplasma pneumoniae pneumonia with Multiple Organ Failure Treated with ECMO and CRRT

Q3 Medicine Pediatric Infection and Vaccine Pub Date : 2019-04-01 DOI:10.14776/PIV.2019.26.E9

W. Hwang, Y. Lee, Eunjee Lee, Jiwon M. Lee, H. Kil, J. Yu, E. Chung

引用次数: 1

Abstract

8세 남아가 호흡곤란과 기면증을 보이며 응급실에 내원하였다. 극도의 호흡부전을 보이고 있었고 고유량의 산소 공급을 함에도 불구하고 88-90%로 밖에 유지되지 않았고 단순 흉부 방사선 검사에서 전 폐야에 불투과도가 증가하였고 중등도의 흉수를 보였다. 마이코플라스마 폐렴 진단 하에 정맥 macrolide 를 포함한 항생제 치료를 시작하였으나 2병일 째 간, 신장에 다기관 부전 및 급성 호흡부전 증상을 보였다. 정맥-정맥 체외순환막성산소화기를 삽입하였고 지속적 신대체요법도 병행하였다. 18병일 째 성공적으로 체외순환막성산소화기에서 이탈하였고 저산소성 뇌 손상 없이 성공적으로 치료되었기에 본 사례를 보고한다.

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ECMO联合CRRT治疗重症肺炎支原体肺炎合并多器官衰竭1例

8岁男婴出现呼吸困难和嗜睡症，被送往急诊室。出现极度呼吸衰竭，尽管有高流量的氧气供应，但仅维持在88-90%，单纯胸部放射检查显示全肺野不透度增加，呈中等度胸水。在诊断为支原体肺炎的情况下，开始了包括静脉macrolide在内的抗生素治疗，但连续2病出现肝、肾多器官衰竭及急性呼吸衰竭症状。插入了静脉-静脉体外循环膜性氧气灭火器，并进行了持续的新替代疗法。第18病天成功脱离体外循环膜性消化道，无低氧性脑损伤，治疗成功，报告本例。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Infection and Vaccine Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： Pediatric Infection and Vaccine is an official publication of the Korean Society of Pediatric Infectious Diseases and a peer-reviewed, open-access, multidisciplinary journal directed to physicians and other health care professionals who manage infectious diseases of childhood. The editorial board calls for the articles that originate from worldwide research or clinical study groups and the publication is determined by the editors and reviewers who are the experts in the specific field of infectious diseases of childhood. The categories of manuscripts are original articles, case reports, reviews and rapid communication. The Journal is published triannually and distributed to members of the Korean Society of Pediatric Infectious Diseases, medical schools, libraries and related institutes to persue the academic advancement in infectious diseases and to promote active communication between the members and international societies of pediatric infectious diseases. Eventually, the journal aims to contribute to the cure of infectious diseases of childhood and to the improvement of public health.