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在COVID-19中由于易受定位的单边脚下降:一个病例报告
Harkesh Arora1, Anna Bode2, Sreekant Avula3
1Lovelace Medical Center Albuquerque New Mexico USA.
Clinical case reports
|December 12, 2023
概括
在COVID-19的机械通风过程中,倾斜的位置ARDS可能会导致诸如脚掉落等并发症. 这一案例凸显了在重症监护中识别和管理这些潜在不良事件的重要性.
科学领域:
- 关键护理医学 关键护理医学
- 肺部病理学 肺部病理学
- 神经学 神经学
背景情况:
- 急性呼吸窘迫综合征 (ARDS) 是COVID-19的一个严重并发症.
- 机械通风和倾斜定位 (PP) 是严重ARDS的关键管理策略.
- 虽然有利于氧化,但PP带有风险,包括压缩性神经病变.
研究的目的:
- 在COVID-19 ARDS患者中报告机械通风和PP后单边脚下降的病例.
- 提高人们对与倾斜定位相关的神经系统并发症的认识.
- 强调在重症监护期间需要对潜在的阴性创伤保持警.
主要方法:
- 一名患有COVID-19 ARDS的患者的病例报告,需要机械通风和容易的定位.
- 详细的临床表现,诊断工作和并发症的管理.
- 对ARDS中倾斜定位的并发症现有文献的审查.
主要成果:
- 患者在经过一段时间的机械通风与倾斜定位后出现了单侧脚下降.
- 脚掉落的原因是压缩性神经病变,可能是由定位引起的.
- 启动了迅速的认可和支持性管理.
结论:
- 倾斜的定位,虽然对ARDS管理至关重要,但可能导致神经系统并发症,如脚掉落.
- 医疗保健提供者必须意识到这些潜在的风险,并密切监测患者.
- 早期识别和干预对于管理COVID-19 ARDS易感定位引起的并发症至关重要.
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