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: Chen Ting Mei Qing Pan Ai-Jun Zhu Chun-Yan
• 来源期刊: 中华创伤杂志英文版
• 关键词: Extracorporeal membrane oxygenation Continuous renal replacement therapy Sepsis Refractory
• 年，卷（期）: 2020,（6）
• 所属期刊栏目: Case Report
• 页码范围: 372-375
• 页数: 4页
• 语种: 中文
• DOI: 10.1016/j.cjtee.2020.09.006

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.