PDF(Pubmed)
Abstract：
A 29-year-old Japanese woman was admitted to our hospital with a fever, cardiogenic shock, and cardiac arrest. Laboratory data indicated multiple organ failure in addition to hemoconcentration, hypoalbuminemia, and myocardial damage. The coronary angiography findings were normal, and fulminant myocarditis was suspected. Venoarterial peripheral extracorporeal membrane oxygenation and an Impella CP left ventricular assist device were initiated, along with the administration of positive inotropic agents. However, hypovolemic shock and hypoalbuminemia progressed along with severe anemia, and the patient died 18 hours after admission. The patient was diagnosed with systemic capillary leak syndrome associated with coronavirus disease 2019.
摘要：
一名29岁的日本妇女因发烧入院，心源性休克,还有心脏骤停.实验室数据显示多器官功能衰竭，除了血液浓缩，低蛋白血症,和心肌损伤。冠状动脉造影结果正常,怀疑是暴发性心肌炎.启动静脉动脉外周体外膜氧合和ImpellaCP左心室辅助装置，随着正性肌力药物的施用。然而,低血容量性休克和低蛋白血症伴随严重贫血进展，患者在入院18小时后死亡。患者被诊断为与COVID-19相关的全身性毛细血管渗漏综合征。
