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首页> 外文期刊>感染症学雑誌 >尿路結石嵌頓を契機に発症した敗血症性ショックに伴った急性呼吸窮迫症候群の1救命例
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尿路結石嵌頓を契機に発症した敗血症性ショックに伴った急性呼吸窮迫症候群の1救命例

机译：急性呼吸窘迫综合征的重新制定典范，伴随着泌尿道微积分监察

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摘要

We report a case of acute respiratory distress syndrome caused by uropathogenic Escherichia coli induced sepsis and treated successfully.A 56-year-old women admitted for high-fever, dyspnea, and disturbance of consciousness on September 11, 2006, was found in chest computed tomography (CT) on admission to have diffuse infiltration with bilateral pleural effusion. Abdominal CT on admission showed left hydronephrosis complicated with ureteral stones. Because of severe hypoxemia, mechanical ventilation was started from hospital day 1. She went into shock soon after admission. Under mechanical ventilation, she was administered several antibiotics and dopamine. Because sera endotoxins were elevated, she was treated by endotoxin adsorption therapy on hospital day 3. A urethral stent was indwelled in the ureter for drainage after endotoxin adsorption therapy. Because Escherichia coli was isolated from urine and blood cultures, she was diagnosed with acute respiratory distress syndrome (ARDS) caused by E. coli inducing septic shock. After therapy, her condition improved, and she was extubated on hospital day 9. Extracorporeal shock wave lithotripsy was conducted on hospital day 19 and she was discharged.
机译：我们报告了由尿羟疗法大肠杆菌诱导脓毒症诱导和成功治疗的急性呼吸窘迫综合征的病例。2006年9月11日在胸部计算出了56岁的妇女，录取了高烧，呼吸困难和意识障碍。接受接近的断层扫描（CT）具有双侧胸腔积液的弥漫性浸润。入学腹部CT显示出左肾内肾小粒与输尿管结石复杂。由于严重的缺氧血症，机械通风于医院第一天开始。入场后很快就会震惊。在机械通气下，她施用了几种抗生素和多巴胺。由于血清内毒素升高，她被内毒素吸附治疗治疗3.由于内毒素吸附治疗后尿道支架留在引流尿鼠中。由于大肠杆菌被从尿液和血液中分离出来，因此被大肠杆菌诱导脓毒症引起的急性呼吸窘迫综合征（ARDS）被诊断出来。治疗后，她的病情有所改善，她在医院拔管9.体外冲击波碎石术在医院第19天进行，她被解雇。

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