采用血液净化治疗急性重症胰腺炎的临床体会
摘要
急性重症胰腺炎(SAP)是临床常见的危重症疾病,起病急进展速度快,并发症较多,病死率较高,针对其发病机制已有胰酶激活,自身消化学说,细胞因子级联瀑布效应学说,微循环障碍,内毒素血症等学说,而炎症因子在整个疾病的发展和转归过程中发挥决定性作用。
出处
《中国医药导刊》
2009年第2期309-310,共2页
Chinese Journal of Medicinal Guide
参考文献5
-
1黎磊石.连续性肾脏替代治疗与重症疾病的救治[J].肾脏病与透析肾移植杂志,1999,8(3):205-206. 被引量:131
-
2王毅军,徐东波,杜斌,杜智.NK-107树脂血液灌流治疗重症急性胰腺炎犬的实验研究[J].生物医学工程与临床,2002,6(2):72-75. 被引量:25
-
3Aoki H, Kodama M, Tani T, et al. Treatment of sepsis by extracorporeal elimination of endotoxin using polymyxin Bimmobilized fiber. Am J Kidey Dis,2002 ;39 (5) :937 - 947
-
4Tsuchida K,Takemto Y, Sugimura K, et al. Diret hemoperfusion by using Lixellc(R) colum for the treatment of systemic inflammatory response syndrome. J ToxicolClin Toxlcol,2002 ;40 (4) :507-512
-
5Gukovskaya AS, Gukovsky L, Zaninovic V, et al. Pancreatic acinar cells produce, release and respond to tumor necrosis factor. J clin Invest, 1997 ; 100:76
二级参考文献7
-
1Hirota M, Nozawa F, Okabe A, et al. Relationship between plasma cytokine concentration and multiple organ failure in patients with acute pancreatitis[J]. Pancreas,2000,21(2):141-146
-
2Brady M, Christmas S, Sutton R, et al. Cytokines and acute pancreatitis[J]. Baillieres Best Pract Res Clin Gastroenterol,1999,13(2):265-289
-
3Powell JJ, Fearon KC, Siriwardena AK, et al. Evidence against a role for polymorphisms at tumor necrosis factor, interleukin-1 and interleukin-1 receptor antagonist gene loci in the regulation of disease severity in acute pancreatitis[J]. Surgery, 2001,129(5):633-640
-
4Lipsett PA. Serum cytokines, proteins, and receptors in acute pancreatitis:Mediators,markers, or more of the same?[J] Crit Care Med, 2001,29(8):1642-1644
-
5Bhatia M, Neoptolemos JP, Slavin J. Inflammatory mediators as therapeutic targets in acute pancreatitis[J]. Curr Opin Investig Drugs,2001,2(4):496-501
-
6Shimada M, Andoh A, Hata K, et al. IL-6 secretion by human pancreatic periacinar myofibroblasts in response to inflammatory mediators[J]. J Immunol,2002,168(2):861-868
-
7Kamijo Y, Wakabayashi Y, Shirasaki K, et al. Continuous hemofiltration removes circulatory cytokine and improves multiple organ dysfunction syndrome following severe acute pancreatitis--a case report[J]. Nippon Shokakibyo Gakkai Zasshi,1995,92(6):1013
共引文献152
-
1孙海宁.血液净化技术与脓毒症治疗[J].黑龙江医学,2009,33(1):38-41. 被引量:3
-
2蔡广,李国璋.急性肾功能衰竭的诊治进展[J].华南国防医学杂志,2003,17(5):14-16. 被引量:4
-
3叶宥文.连续肾脏替代治疗在监护病房非肾性危重患者中的应用[J].中国临床实用医学,2007,1(6). 被引量:12
-
4赵景波,张宝美,张玉亮.序贯性血液净化治疗急性有机磷中毒中间综合征临床观察[J].山东医药,2004,44(19):31-32. 被引量:8
-
5张苗,朱章华,丁义涛,陈明.连续性肾脏替代疗法在肝肾联合移植术中的应用[J].江苏医药,2003,29(10):785-786. 被引量:1
-
6季大玺,龚德华.应重视连续性血液净化在急性肾衰竭中的治疗作用[J].中国血液净化,2004,3(11):581-582. 被引量:30
-
7谭晓军,龚丽荣,甄明富,刘妙燕.连续性血液净化治疗重症肾功能不全70例[J].中国血液净化,2004,3(12):668-669.
-
8季大玺,龚德华,徐斌,陶静,任冰,张一丹,刘芸,胡伟新,黎磊石.连续性静脉-静脉血液滤过治疗急性严重低钠血症六例[J].中华内科杂志,2003,42(11):781-784. 被引量:12
-
9邓志强,陈红,王俐.血液净化在多器官功能障碍综合征救治中的应用及护理[J].山东医药,2003,43(11):31-31.
-
10刘斌,孙铸兴.连续性静脉-静脉血液滤过串联血液灌流治疗多器官功能障碍综合征[J].中国中西医结合肾病杂志,2005,6(4):238-240. 被引量:2
-
1邓琼芳.75例急性上消化道大出血的护理体会[J].医学信息,2011,24(21):326-326.
-
2李靖,王硕仁,解红霞.急性胰腺炎肾损害的发病机制研究概况[J].临床肾脏病杂志,2011,11(6):248-249. 被引量:1
-
3康正茂.急性胰腺炎50例治疗体会[J].现代医药卫生,2006,22(8):1176-1177. 被引量:2
-
4黄丽英,钮晋红.以哮喘为首发的急性心肌梗死5例[J].实用医学杂志,2011,27(6):1121-1121. 被引量:1
-
5黄宪花,韩冰.2例有机磷中毒误诊的护理观察[J].中国医学创新,2011,8(1):96-97.
-
6于建武,高杰,赵勇华,王淑琴,李树臣.乳果糖联合血浆置换治疗对慢性重型肝炎患者内毒素血症的影响[J].肝脏,2006,11(1):28-29. 被引量:6
-
7赵茹.急性胰腺炎36例的临床治疗[J].中国当代医药,2011,18(24):231-232. 被引量:1
-
8葛飞,颜永进.高脂血症对急性胰腺炎发病的影响分析[J].中国现代医药杂志,2008,10(9):35-35.
-
9刘明军.奥曲肽不同给药途径治疗重症急性胰腺炎的疗效比较[J].中国医药导报,2007,4(05Z):55-56. 被引量:4
-
10李清华.76例急性胰腺炎并发症的诊治分析[J].重庆医学,2006,35(8):763-764.