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CytoSorb与Jafron HA330血液吸附装置在小儿肿瘤脓毒症患者中的比较:回顾性观察研究

Comparison of CytoSorb and Jafron HA330 Hemoadsorption Devices in Pediatric Oncological Patients with Sepsis: Retrospective Observational Study.

作者信息

Ryazanova Diana, Tobylbayeva Zaure, Mironova Olga, Kakenov Erken, Sazonov Vitaliy

机构信息

Department of Medicine, School of Medicine, Nazarbayev University, Astana Z05K4F4, Kazakhstan.

Pediatric Anesthesiology and Intensive Care Unit, Mother and Child Center, "University Medical Center", Astana Z05K4F4, Kazakhstan.

出版信息

J Clin Med. 2024 Dec 17;13(24):7694. doi: 10.3390/jcm13247694.

Abstract

Pediatric sepsis presents a severe risk to immunocompromised children, especially those with cancer or pre-existing conditions, posing a significant threat to their lives. Cytokine hemadsorption has emerged as a promising therapeutic approach for managing sepsis and severe inflammatory conditions in critically ill patients. This innovative method involves eliminating pro-inflammatory cytokines from the bloodstream, targeting the underlying hyper-inflammatory response often seen in critical illnesses. Study aim: The study aim is to examine and compare the efficacy of HA330 and CytoSorb for extracorporeal blood purification in septic children with oncology. In this retrospective observational study, we examine 20 cases to assess the effectiveness of hemoperfusion therapy using hemoadsorption devices in pediatric septic patients with oncology. Our focus is on the use of HA330 and Cytosorb hemoadsorption devices, both designed to remove bacterial toxins and inflammatory agents from the bloodstream. Our study reveals that hemoadsorption with HA330 and CytoSorb effectively treats septic children with oncological conditions. The presented findings suggest no statistically significant difference between the two devices in reducing the levels of the assessed parameters for extracorporeal blood purification in this patient population.

摘要

小儿脓毒症对免疫功能低下的儿童,尤其是患有癌症或有基础疾病的儿童构成严重风险,对他们的生命构成重大威胁。细胞因子血液吸附已成为治疗重症患者脓毒症和严重炎症性疾病的一种有前景的治疗方法。这种创新方法涉及从血液中清除促炎细胞因子,针对危重病中常见的潜在过度炎症反应。研究目的:本研究旨在检验和比较HA330和CytoSorb在肿瘤性脓毒症患儿体外血液净化中的疗效。在这项回顾性观察研究中,我们检查了20例病例,以评估血液吸附装置血液灌流疗法在肿瘤性小儿脓毒症患者中的有效性。我们的重点是使用HA330和CytoSorb血液吸附装置,这两种装置都旨在从血液中清除细菌毒素和炎症介质。我们的研究表明,HA330和CytoSorb血液吸附能有效治疗患有肿瘤疾病的脓毒症患儿。研究结果表明,在该患者群体中,两种装置在降低体外血液净化评估参数水平方面无统计学显著差异。

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