Détail du document
Identifiant
doi:10.1186/s12894-023-01299-2...
Auteur
Tang, Wen Xie, Zhifei Liu, Mingwen Zhao, ZeJu Wu, TaoLangue
enEditeur
BioMed Central
Catégorie
Urology
Année
2023
Date de référencement
02/08/2023
Mots clés
uroseptic shock pregnancy iabp crrt va-ecmo treatment rate pregnancyRésumé
Background Uroseptic shock secondary to ureteral calculi during pregnancy is rare.
It is characterized by rapid onset, rapid progression, aggressive disease, limited treatment, poor prognosis, and a mortality rate higher than 20% with improper or delayed management.
A clear diagnosis is made based on typical clinical symptoms and abdominal ultrasound, often requiring combined multidisciplinary treatment and the simultaneous release of the obstruction.
The high mortality rate is mainly related to inappropriate early treatment of stones and infections or failure to intervene in a timely manner.
Case presentation A 21-year-old first-time pregnant patient with uroseptic shock was admitted to our intensive care unit.
The patient was successfully treated at our hospital with multidisciplinary cooperation, high-dose vasoactive drugs, IABP, CRRT, VA-ECMO, and termination of pregnancy.
Conclusions Timely relief of obstructions, termination of pregnancy, and the provision of IABP, CRRT, and VA-ECMO when necessary in critically ill patients with uroseptic shock during pregnancy can improve the success rate of resuscitation.
Tang, Wen,Xie, Zhifei,Liu, Mingwen,Zhao, ZeJu,Wu, Tao, 2023, Analysis of uroseptic shock after ureteroscopy for ureteral calculi during pregnancy: a case report, BioMed Central
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