使用低劑量血管加壓素治療嚴重敗血症合併肺動脈高壓之病例報告

Low-dose Vasopressin Infusion Can Be an Alternative in Treating Patients with Refractory Septic Shock Combined with Chronic Pulmonary Hypertension-- A Case Report

敗血症休克是目前在加護病房病人死亡常見的原因。傳統上，我們使用正腎上素來昇高血壓，但對於嚴重敗血性休克的病人，效果通常不是很好。本文報告一位68歲缺血性腸壞死敗血症休克合併肺高壓的病人，在使用低劑量血管加壓素後，有效的昇高血壓，降低肺動脈高壓，並改進組織灌流。六天後，病患轉至普通病房。

Septic shock is still the major cause of death in surgical intensive care unit. Fluid support, inotropic agents, and broad spectrum antibiotics are still the mainstay of traditional therapy. Here, we present a case of septic shock arising from gangrenous ischemic bowel, complicated by chronic pulmonary hypertension, which was refractory to catecholamine vasoprerssors. We successfully stabilized the hemodynamics and reduce the pulmonary hypertension with low-dose vasopressin infusion.