Abstract
Holmium laser lithotripsy(HLL)is one of the common surgical methods for urolithiasis.It causes minor surgical trauma,but complications are not rare.Extracorporeal membrane oxygenation(ECMO)treat-ment of sepsis is common,but venoarterial(VA)-ECMO treatment of urosepsis has not been reported yet.In this article,we reported a 67-year-old female patient with refractory septic shock caused by HLL under percutaneous nephroscope,involving breathing,heart,kidney and other organs,and organs support treatment was ineffective for the patient.Finally,we successfully treated the patient under VA-ECMO with continuous renal replacement therapy(CRRT).Combined ECMO and CRRT may provide a solu-tion for addressing refractory sepsis.Here we present the case and review relevant literature,so as to provide a treatment strategy for patients with refractory urogenic sepsis and to reduce the mortality rate.
NETL
NSTL
维普
万方数据