Barinov A V, Ol'mezov V V
Anesteziol Reanimatol. 1999 May-Jun(3):59-60.
Many patients with sepsis are immunocompetent. They respond well to standard combinations of antibiotics and cardiovascular support. However, immunocompetent patients, particularly small-for-date newborns, are in need of stronger immune protection. Although the mechanisms due to which antibody preparations yield positive effects are not quite clear, clinical studies carried out in many countries and our own results indicate a high protective effect of intravenous immunoglobulins and necessitate their use at least in intensive care departments.
许多脓毒症患者具有正常免疫功能。他们对标准的抗生素组合和心血管支持治疗反应良好。然而,具有正常免疫功能的患者,尤其是小于胎龄儿,需要更强的免疫保护。尽管抗体制剂产生积极效果的机制尚不完全清楚,但许多国家开展的临床研究以及我们自己的研究结果表明,静脉注射免疫球蛋白具有很高的保护作用,至少在重症监护病房有必要使用。