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[级联过滤交换血浆置换术治疗弥漫性化脓性腹膜炎疗效的血流动力学标准]

[The hemodynamic criteria of the efficacy of cascade filtration exchange plasmapheresis in diffuse suppurative peritonitis].

作者信息

Ender L A, Vatazin A V, Machulina N Iu, Raskin Iu Iu

出版信息

Vestn Khir Im I I Grek. 1991 Apr;146(4):97-100.

PMID:1661973
Abstract

The influence of the cascade filtration exchange plasmapheresis on the central and organ haemodynamics was studied in 15 patients in the terminal phase of diffuse purulent peritonitis. The procedure was found to be followed by the activation of the cardio-vascular system function if it was initially depressed and by its weakening in cases of excessive strain. The worse functional state of haemodynamics 1 day after plasmapheresis is the earliest symptom of progressing endotoxemia and is though to be an indication for redetoxication.

摘要

对15例弥漫性化脓性腹膜炎终末期患者研究了连续过滤交换血浆置换术对中枢和器官血流动力学的影响。结果发现,如果心血管系统功能最初处于抑制状态,该操作会使其激活;而在过度应激的情况下,则会使其减弱。血浆置换术后1天血流动力学功能状态较差是内毒素血症进展的最早症状,被认为是再次解毒的指征。

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