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Severe Progressive Diffuse Alveolar Hemorrhage in a Patient with Systemic Lupus Erythematosus
Joint Authors
Kamibayashi, Takahiko
Kusunoki, Munenori
Umegaki, Takeshi
Shoji, Tomohiro
Nishimoto, Kota
Anada, Natsuki
Ando, Akiko
Uba, Takeo
Oku, Kanako
Hakata, Saya
Hagihira, Satoshi
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-06-07
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Diffuse alveolar hemorrhage (DAH) refers to the effusion of blood into the alveoli due to damaged pulmonary microvasculature.
The ensuing alveolar collapse can lead to severe hypoxemia with poor prognosis.
In these cases, it is crucial to provide respiratory care for hypoxemia in addition to treating the underlying disease.
Here, we describe our experience with a case involving a 46-year-old woman with severe DAH-induced hypoxemia accompanying systemic lupus erythematosus (SLE).
Mechanical ventilation was managed using airway pressure release ventilation (APRV) after intubation.
Through APRV-based respiratory care and treatment of the underlying disease, hemoptysis was eliminated and oxygenation improved.
The patient did not experience significant barotrauma and was successfully weaned from mechanical ventilation after 25 days in the intensive care unit.
This case demonstrates that APRV-based control for respiratory management can inhibit the effusion of blood into the alveoli and achieve mechanical hemostasis, as well as mitigate alveolar collapse.
APRV may be a useful method for respiratory care in patients with severe DAH-induced hypoxemia.
American Psychological Association (APA)
Kusunoki, Munenori& Umegaki, Takeshi& Shoji, Tomohiro& Nishimoto, Kota& Anada, Natsuki& Ando, Akiko…[et al.]. 2018. Severe Progressive Diffuse Alveolar Hemorrhage in a Patient with Systemic Lupus Erythematosus. Case Reports in Critical Care،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1141229
Modern Language Association (MLA)
Kusunoki, Munenori…[et al.]. Severe Progressive Diffuse Alveolar Hemorrhage in a Patient with Systemic Lupus Erythematosus. Case Reports in Critical Care No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1141229
American Medical Association (AMA)
Kusunoki, Munenori& Umegaki, Takeshi& Shoji, Tomohiro& Nishimoto, Kota& Anada, Natsuki& Ando, Akiko…[et al.]. Severe Progressive Diffuse Alveolar Hemorrhage in a Patient with Systemic Lupus Erythematosus. Case Reports in Critical Care. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1141229
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141229