医学
体外膜肺氧合
心源性休克
卡培他滨
肾脏替代疗法
恶性肿瘤
内科学
心脏病学
麻醉
重症监护医学
心肌梗塞
结直肠癌
癌症
作者
Liqin Zhang,Mingjun Liu,Lutao Xie,Xin Tian
出处
期刊:Critical Care Nurse
[AACN Publishing]
日期:2024-08-01
卷期号:44 (4): 57-62
摘要
Introduction This is the first report of a patient who developed cardiogenic shock after receiving oral chemotherapy with capecitabine and was treated with venoarterial extracorporeal membrane oxygenation combined with continuous renal replacement therapy. Clinical Findings A 58-year-old man developed an arrhythmia that rapidly progressed to cardiogenic shock and cardiac arrest after receiving oral capecitabine tablets to treat a rectal malignancy. Interventions The patient was treated with venoarterial extracorporeal membrane oxygenation in combination with continuous renal replacement therapy. Outcome The patient made a full recovery and was discharged from the hospital. Conclusion The use of comprehensive supportive treatments such as extracorporeal membrane oxygenation combined with continuous renal replacement therapy in patients with capecitabine-induced cardiac arrest can rapidly reduce drug concentrations, eliminate harmful substances, and improve the prognosis.
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