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严重脓毒症成人呼吸窘迫综合征合并水痘时的血液滤过

Hemofiltration in severe septic adult respiratory distress syndrome associated with varicella.

作者信息

Gotloib L, Barzilay E, Shustak A, Waiss Z, Lev A

出版信息

Intensive Care Med. 1985;11(6):319-22. doi: 10.1007/BF00273545.

Abstract

One case of severe varicella pneumonia with high microvascular permeability pulmonary edema and signs of multiple system organ disfunction was successfully treated by means of hemofiltration. The patient was discharged from the Intensive Care Unit 6 days after admission. Peptides showing molecular weight ranging between 600 (prostaglandins) and 4000 (B-endorphin) daltons were cleared from blood at the same rate as urea. Hemofiltration appears to be a valuable tool for treating septic ARDS.

摘要

1例伴有高微血管通透性肺水肿及多系统器官功能障碍体征的重症水痘肺炎患者通过血液滤过治疗成功治愈。患者入院6天后从重症监护病房出院。分子量在600(前列腺素)至4000(β-内啡肽)道尔顿之间的肽类与尿素以相同速率从血液中清除。血液滤过似乎是治疗脓毒症急性呼吸窘迫综合征的一种有价值的工具。

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