| Autor: |
Dauplaise DJ; Division of Critical Care Medicine, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC 2005, Cincinnati, OH 45229, USA., Barnett SJ, Frischer JS, Wong HR |
| Jazyk: |
angličtina |
| Zdroj: |
Critical care research and practice [Crit Care Res Pract] 2010; Vol. 2010. Date of Electronic Publication: 2010 Jun 23. |
| DOI: |
10.1155/2010/102910 |
| Abstrakt: |
Objective. To describe a profoundly immunocompromised (panleukopenia) child with septic shock who developed abdominal compartment syndrome (ACS) and was successfully treated with surgical decompression. Design. Individual case report. Setting. Pediatric intensive care unit of a tertiary children's hospital. Patient. A 32-month-old male with Fanconi anemia who underwent bone marrow transplantation (BMT) 5 days prior to developing septic shock secondary to Streptococcus viridans and Escherichia coli ACS developed after massive fluid resuscitation, leading to cardiopulmonary instability. Interventions. Emergent surgical bedside laparotomy and silo placement. Measurements and Main Results. The patient's cardiopulmonary status stabilized after decompressive laparotomy. The abdomen was closed and the patient survived to hospital discharge without cardiac, respiratory, or renal dysfunction. Conclusions. The use of laparotomy and silo placement in an unengrafted BMT patient with ACS and septic shock did not result in additional complications. Surgical intervention for ACS is a reasonable option for high risk, profoundly immunocompromised patients. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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