首页> 美国卫生研究院文献>Journal of Vascular Surgery Cases and Innovative Techniques >Pedal gangrene in a patient with COVID-19 treated with prone positioning and extracorporeal membrane oxygenation
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Pedal gangrene in a patient with COVID-19 treated with prone positioning and extracorporeal membrane oxygenation

机译:在患者的踏板坏疽与covid-19用俯卧定位和体外膜氧合处理

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摘要

Many patients hospitalized with coronavirus disease 2019 are treated with venovenous extracorporeal membrane oxygenation and prone positioning to optimize oxygenation. However, this combination can result in lower extremity tissue necrosis, especially without adequate offloading. We report the case of a 31-year-old man who required mechanical ventilation and venovenous extracorporeal membrane oxygenation secondary to complications from coronavirus disease 2019, and subsequently developed pedal dry gangrene. The patient was discharged and healed without requiring an amputation. Our institution has since revised the prone positioning protocol to address offloading the lower extremities and feet.
机译:许多患者与冠状病毒疾病住院的患者2019年含有矛盾的体外膜氧合,易于定位以优化氧合。然而,这种组合可以导致下肢组织坏死,特别是没有充分的卸载。我们举报了一名31岁男子的案例,需要机械通风和辅助体外膜氧合,其二次冠状病毒疾病的并发症2019年,随后开发了踏板干坏疽。病人被排出并愈合而不需要截肢。我们的机构自修订了易于定位议定书,以解决下肢和脚。

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