Exchange transfusion to reverse severe pertussis-induced cardiogenic shock

被引：38

作者：

Donoso, Alejandro F. ^{[1
]}

Cruces, Pablo I. ^{[1
]}

Camacho, Jorge F. ^{[1
]}

Leon, Jose A. ^{[1
]}

Kong, Jorge A. ^{[1
]}

机构：

[1] Padre Hurtado Hosp, Pediat Intens Care Unit, Santiago, Chile

来源：

PEDIATRIC INFECTIOUS DISEASE JOURNAL | 2006年 / 25卷 / 09期

关键词：

Bordetella pertussis; pulmonary hypertension; exchange transfusion; hyperleukocytosis; PULMONARY-HYPERTENSION; INFANTS; HYPERLEUKOCYTOSIS; DEATHS;

D O I：

10.1097/01.inf.0000232630.70138.a2

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Severe pertussis has a high mortality risk, especially in those with high white blood cell counts and pulmonary hypertension. Exchange transfusion can reduce the leukocyte mass in blood. We report 3 young infants with severe pertussis and hyperleukocytosis who developed cardiogenic shock and pulmonary hypertension. Exchange transfusion was performed. The white blood cell count decreased accompanied by improvement in the cardiopulmonary condition and survival in the 3 infants. Exchange transfusion should be considered in patients with severe pertussis with hyperleukocytosis.

引用

页码：846 / 848

页数：3

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