静脉-动脉体外膜氧合成功治疗2019冠状病毒病继发系统性毛细血管渗漏综合征1例

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL Internal Medicine Pub Date : 2025-01-03 DOI:10.2169/internalmedicine.4677-24

Kanji Nobata, Yuta Ueki, Yusuke Namba, Yusuke Kawai

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引用次数: 0

摘要

我们在此报告一例2019年出现的由冠状病毒病（COVID-19）引起的系统性毛细血管渗漏综合征（SCLS）。一名56岁女性在就诊前7天出现COVID-19感染，出现上呼吸道症状、疲劳和食欲下降。确诊为新冠肺炎继发scs，开始静脉-动脉体外膜氧合（VA-ECMO）机械支持，静脉注射免疫球蛋白，开始液体复苏，进入恢复期。该病例成功应用VA-ECMO治疗COVID-19继发性scs，模拟暴发性心肌炎的过程，值得关注。

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Successful Management of Systemic Capillary Leak Syndrome Secondary to Coronavirus Disease 2019 Mimicking the Course of Fulminant Myocarditis by Venous-arterial Extracorporeal Membrane Oxygenation: A Case Report.

We herein report a case of Systemic Capillary Leak Syndrome (SCLS) attributed to coronavirus disease (COVID-19) that emerged in 2019. A 56-year-old woman presented with a COVID-19 infection 7 days prior to the visit with upper respiratory symptoms, fatigue, and decreased appetite. Secondary SCLS due to COVID-19 was diagnosed, veno-arterial extracorporeal membrane oxygenation (VA-ECMO) was initiated as mechanical support, and intravenous immunoglobulin was administered, marking the transition to the recovery phase with the initiation of fluid resuscitation. This case is noteworthy for successfully employing VA-ECMO in treating secondary SCLS due to COVID-19, mimicking the course of fulminant myocarditis.

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来源期刊

Internal Medicine 医学-医学：内科

CiteScore

1.90

自引率

8.30%

发文量

审稿时长

2.2 months

期刊介绍： Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.