Extracorporeal Membrane Oxygenation in Severe Pulmonary Forms of Leptospirosis: A Report of Two Cases.

体外膜肺氧合治疗重症钩端螺旋体病 2 例.

• 发表时间: Aug 2022
• 来源期刊: Indian J Crit Care Med
• DOI: 10.5005/jp-journals-10071-24286
• PMID: 36042754
• 文章类型: Case Reports
• 作者列表: Sen S,Goyal A,Lokhande V,Sen S,Goyal A,Lokhande V

关键词: Acute respiratory distress syndrome; Extracorporeal membrane oxygenation; Leptospirosis; Tropical infections; Acute respiratory distress syndrome; Extracorporeal membrane oxygenation; Leptospirosis; Tropical infections

Abstract

Pulmonary involvement in leptospirosis is common. Severe pulmonary forms of leptospirosis (SPFL) carry high mortality. We report two cases of an otherwise healthy adult male from the western suburbs of India, admitted with severe pulmonary hemorrhage with extremely poor oxygenation. Veno-venous extracorporeal membrane oxygenation (VV-ECMO) was used as the last-rescue life-saving measure. Both the patients showed good pulmonary recovery within 2 weeks. Despite having thrombocytopenia, we experienced lesser bleeding complications requiring transfusions during the extracorporeal membrane oxygenation (ECMO) period.
UNASSIGNED: Sen S, Goyal A, Lokhande V. Extracorporeal Membrane Oxygenation in Severe Pulmonary Forms of Leptospirosis: A Report of Two Cases. Indian J Crit Care Med 2022;26(8):966-969.

摘要

肺受累钩端螺旋体病是常见的。严重的肺部形式的钩端螺旋体病（SPFL）具有很高的死亡率。我们报告了两例来自印度西郊的健康成年男性，严重肺出血，氧合极差。静脉-静脉体外膜氧合（VV-ECMO）被用作最后的挽救生命的措施。2周内肺恢复良好。尽管有血小板减少症,我们在体外膜肺氧合(ECMO)期间经历了需要输血的较少出血并发症.
未经批准：SenS,GoyalA,LokhandeV.体外膜氧合治疗重症肺型钩端螺旋体病：2例报告。印度JCritCareMed2022；26（8）：966-969。