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20例毛细血管渗漏综合征的治疗体会 被引量:3

Experience of the treatment of capillary leak syndrome: 20 cases report
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摘要 目的探讨毛细血管渗漏综合征(CLS)的治疗方法、总结经验。方法在治疗原发病的基础上,应用乌司他丁或血必净、羟乙基淀粉(130/0.4)、人血白蛋白、利尿剂或CRRT及机械通气治疗,观察平均动脉压(MAP)、动脉血氧分压(Pa O2)、全身水肿、尿量及病死率。结果治疗后17例患者上述指标改善,病情缓解,3例患者病情继续恶化死亡。结论早期有效的治疗可以改善CLS患者的预后、降低病死率。 Objective To investigate the treatment method of capillary leak syndrome ( CLS ) and sum up experience .Methods Based on the treatment of primary disease , ulinastatin and Xuebijing , hydroxyethyl starch (130/0.4), human serum albumin, diuretics or CRRT or mechanical ventilation therapy were applied . Mean arterial pressure (MAP), arterial partial pressure of oxygen (PaO2), urine volume and systemic edema disease and death rate of the patients were observed .Results 17 cases of patients with the above indicators improved and got remission after treatment , 3 patients with conditions getting worse and dead .Conclusions Early and effective treatment can reduce mortality and improve the prognosis of patients with CLS .
作者 张兆君
出处 《齐齐哈尔医学院学报》 2015年第13期1957-1958,共2页 Journal of Qiqihar Medical University
关键词 毛细血管渗漏综合征(CLS) 病死率 Capillary leak syndrome (CLS) Mortality
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参考文献3

  • 1Tian J. Hydroxyethyl starch and capillary leak syndrome[ J]. Anesth Analg,2004,98 (3) :768-7741. 被引量:1
  • 2Marx G, Vangerow B, Burczyk C, et al. Evaluation ofnoninvasivedeterminants for capillary leakage syndrome in septic shock patients[J]. Intensive Care Med,2000,26(9) :1252-1258. 被引量:1
  • 3Raft AQ, Zeytun A, Bradley MJ, et al. Evidence for the involvement of Fas ligand and perforin in the induction of vascular leak syndrome [ J]. Immunol, 1998,161:3077-3086. 被引量:1

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