The experience of extracorporeal membrane oxygenator combined with plasma exchange in treatment of a patient with severe cytomegalovirus pneumonia
10.3969/j.issn.1008-9691.2018.02.025
- VernacularTitle:ECMO联合血浆置换治疗重症巨细胞病毒肺炎的体会
- Author:
Xuemei ZHANG
1
;
Peiyang GAO
;
Liuxue GUO
Author Information
1. 成都中医药大学附属医院重症医学科
- Keywords:
Extracorporeal membrane oxygenation;
Plasma exchange;
Nephrotic syndrome;
Cytomegalovirus pneumonia
- From:
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
2018;25(2):218-219,221
- CountryChina
- Language:Chinese
-
Abstract:
In recent years, with the development of bone marrow and organ transplantation, cytomegalovirus (CMV) has become a common pathogen threatening patients having undergone organ transplantation. CMV may cause severe pulmonary infection and respiratory failure, leading to the death of patient with CMV pneumonia. CMV infectious pneumonia is characterized by the formation of huge type A eosinophil inclusion bodies in the nucleus and cytoplasm of the infected cells. The susceptible population is often associated with low immune function, and to promote the recovery of autoimmune function is the key point for treatment of CMV pneumonia, and the plasma exchange therapy can reconstruct the autoimmune function and improve the prognosis of patients with CMV pneumonia to a certain extent. Now the experience of 1 patient of severe CMV pneumonia treated by ECMO combined with plasmapheresis is reported.
