1例新冠肺炎并发感染性休克的年轻女孩患者死亡

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引用次数: 1

摘要

理由:冠状病毒病是当前世界范围内的一种严重传染病。感染性休克是COVID-19感染引起的一种非常常见的死亡原因。COVID-19感染的严重程度与死亡之间存在密切关系。众所周知,COVID-19感染会引发严重的炎症变化和败血症。到目前为止,还没有针对COVID-19的已知治疗方法。患者关注:一名年轻女孩COVID-19患者因严重休克并发展为肺炎而入住重症监护病房。诊断:2019冠状病毒病(COVID-19)患者入住重症监护病房,年轻女孩患者感染性休克并发展为肺炎。干预措施:心电图、动脉血气检查、胸部CT扫描、中心静脉置管、静脉加压药输注。结果:临床心电图和影像学进展显著改善。结论:这表明抗凝剂、血管加压剂、类固醇和抗生素在COVID-19肺炎感染和脓毒性休克治疗中的作用。C-反应蛋白、淋巴细胞计数、肝酶、胸部CT可作为COVID-19患者炎症活动性随访的良好实验室指导。血压、呼吸频率和血氧饱和度是临床随访的另一个有力指导。
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A COVID-19 Young Girl Patient with Developing Pneumonia and Septic Shock Passing the Death
Rationale: Coronavirus disease is a current worldwide pandemic serious infection. Septic shock is a very common cause of death due to COVID-19 infection. There is a strong relationship between the severity of COVID-19 infection and death. COVID-19 infection is a well-known trigger for severe inflammatory changes and sepsis. Up till now, there is no well-known treatment for COVID-19. Patient concerns: A young girl COVID-19 patient admitted to the critical care unit with severe shock and developing pneumonia. Diagnosis: COVID-19 patient admitted to the critical care unit with COVID-19 young girl patient with septic shock and developing pneumonia. Interventions: Electrocardiography, arterial blood gas test, chest CT scan, central venous catheterization, and intravenous vasopressors infusion. Outcomes: Progressive dramatic clinical electrocardiography and radiological improvement had happened. Lessons: It denotes the role of anticoagulants, vasopressors, steroids, and antibiotics in the management of COVID-19 pneumonic infection and septic shock. C- reactive protein, lymphocytic count, liver enzymes, and CT chest may be used as a good laboratory guide for follow up for the inflammatory activity of COVID-19 patient. Blood pressure, respiratory rate, and O2 saturation are another strong guide for clinical for follow up in COVID-19 patients.
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