Successful treatment of pulmonary heart disease complicated with gastrointestinal perforation and septic shock: a case report

doi:10.3877/cma.j.issn.2096-1537.2019.03.017

Abstract

Abstract:

Sepsis is a common cause of ICU admission and one of the leading causes of death in ICU patients. Acute kidney injury is common with sepsis and is associated with mortality. With long-term pulmonary hypertension COPD patients may have pulmonary heart disease manifesting as right heart hypertrophy or even cardiac insufficiency, which seriously affects patients′ cardiopulmonary function. Here we report a case of senile pulmonary heart disease complicated with gastrointestinal perforation and septic shock in the Jiaxing Second Hospital. After successful treatment of low cardiac output, acute renal function damage and systemic stasis, the patient was discharged .

Key words: Sepsis, Acute kidney injury, Chronic obstructive pulmonary disease, Pulmonary heart disease, Digestive tract perforation

Li Sun, Yufang Yang, Qingyu Wang, Faming Fei. Successful treatment of pulmonary heart disease complicated with gastrointestinal perforation and septic shock: a case report[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2019, 05(03): 289-292.

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URL: https://icu.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2096-1537.2019.03.017

https://icu.cma-cmc.com.cn/EN/Y2019/V05/I03/289

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References 10

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入院时间	CO（L/min）	CI［L/（min?m²）］	SV（ml）	CVP（mmHg）	SVRI（DSm²/cm⁵）	EVLWI（ml/kg）	ITBVI（ml/m²）	GEDVI（ml/m²）	液体出入量（出量/入量，ml）
入院第1天	3.02	1.41	28	22	2389	10.3	1368	1112	430/4980
入院第2天	2.89	1.29	29	14	2733	9.2	1068	855	2990/4330
入院第3天	2.68	1.26	29	8	3603	8.5	787	630	5180/3870
入院第4天	3.82	2.11	39	12	3166	8.4	890	736	4360/4150
入院第5天	4.23	2.34	44	10	2479	7.4	955	764	4510/4720
入院第7天	4.35	2.40	42	10	2751	6.1	1047	868	2830/3120

入院时间	CO（L/min）	CI［L/（min?m²）］	SV（ml）	CVP（mmHg）	SVRI（DSm²/cm⁵）	EVLWI（ml/kg）	ITBVI（ml/m²）	GEDVI（ml/m²）	液体出入量（出量/入量，ml）
入院第1天	3.02	1.41	28	22	2389	10.3	1368	1112	430/4980
入院第2天	2.89	1.29	29	14	2733	9.2	1068	855	2990/4330
入院第3天	2.68	1.26	29	8	3603	8.5	787	630	5180/3870
入院第4天	3.82	2.11	39	12	3166	8.4	890	736	4360/4150
入院第5天	4.23	2.34	44	10	2479	7.4	955	764	4510/4720
入院第7天	4.35	2.40	42	10	2751	6.1	1047	868	2830/3120

入院时间	PCT（ng/ml）	WBC（×10⁹/L）	CRP（mg/L）	Cr（μmol/L）	乳酸（mmol/L）	B超左室射血分数（%）
入院第1天	42.01	3.3	121.37	123.6	4.3	32
入院第2天	51.04	8.4	192.96	244.2	3.2	40
入院第3天	34.39	10.8	119.62	143.7	2.2	/
入院第4天	16.66	10.2	96.08	123.7	1.8	/
入院第5天	9.94	8.1	72.96	92.8	1.4	45
入院第7天	2.47	7.1	57.79	95.2	1.2	/
入院第10天	0.61	12.4	39.77	87.7	1.5	52
入院第15天	0.05	7.0	19.71	62.4	1.1	55

入院时间	PCT（ng/ml）	WBC（×10⁹/L）	CRP（mg/L）	Cr（μmol/L）	乳酸（mmol/L）	B超左室射血分数（%）
入院第1天	42.01	3.3	121.37	123.6	4.3	32
入院第2天	51.04	8.4	192.96	244.2	3.2	40
入院第3天	34.39	10.8	119.62	143.7	2.2	/
入院第4天	16.66	10.2	96.08	123.7	1.8	/
入院第5天	9.94	8.1	72.96	92.8	1.4	45
入院第7天	2.47	7.1	57.79	95.2	1.2	/
入院第10天	0.61	12.4	39.77	87.7	1.5	52
入院第15天	0.05	7.0	19.71	62.4	1.1	55

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