Successful treatment of severe pneumonia, pyopneumothorax with severe acute respiratory distress syndrome, and septic shock: a case report

European Journal of Medical Research

Xi Wang¹  Ruijie Zhang¹  Xiaoqing Luo¹  Jian Lan¹ 

[1] The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China;

关键词: Severe pneumonia;    Acute respiratory distress syndrome (ARDS);    Septic shock;    Continuous renal replacement therapy (CRRT);    Mechanical ventilation;   

DOI  :  10.1186/s40001-020-00459-6

来源: Springer

【 摘 要 】

BackgroundThis article reports a patient who survived severe pneumonia, pyopneumothorax with acute respiratory distress syndrome (ARDS), and septic shock, which is very difficult to treat.Case presentationAntibiotics, continuous renal replacement therapy (CRRT), bronchial lavage and other treatments were used to treat a patient with pneumonia, pyopneumothorax, severe ARDS and septic shock. After comprehensive treatment, the patient was successfully treated and survived for a long time.ConclusionsThere is a low successful clinical treatment rate for patients with pneumonia, pyopneumothorax with severe ARDS and septic shock. The successful treatment of this patient benefited from early and effective empirical therapy, targeted drug selection in the later stage, adequate closed thoracic drainage, repeated bronchial lavage, early CRRT, an appropriate respiratory support mode and parameter setting, immunotherapy and nutritional support therapy. This paper proposes a reference diagnosis and treatment solution for similar cases.

【 授权许可】

CC BY