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血液透析联合灌流治疗急性重症胰腺炎 被引量:3

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摘要 急性重症胰腺炎(SAP)是临床上常见的危急重症,除有腹部局部的病理损伤表现外,多伴有明显全身炎症反应综合征,病死率高达22.4%~53.3%。近年随着对SAP的发病机制及病变变化的深入研究,发现SAP时机体释放大量炎症介质,细胞因子释放失控,过度炎症反应造成机体免疫调节网络的紊乱,促抗炎因子比例失衡,是胰腺炎重症化和造成多脏器功能障碍的关键[1]。现运用血液透析(HP)联合血液灌流(HD)治疗,可以有效阻滞全身炎症反应综合征,降低病情的严重程度,取得良好的治疗效果。
作者 薛毅
出处 《中外医疗》 2009年第32期43-43,共1页 China & Foreign Medical Treatment
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  • 1Mayer J,Ran B,Gansavge F,et al.Infalammatory mediator in human pancreatits:clinical and pathophysiological implications [J].Gut,2000:47:546-552.
  • 2Norman J,Franz M,Fink G.Timing of tumor necrosis factor antagonism is critical in determining outcome in murine lethal acute pancreatitis [J].Surgery,1996; 120:515-521.
  • 3Norman J,Franz MG,Fink GS,et al.Decreased mortality of severe acute pancreatitis after proximal cytokine blockade [J].Ann Surg,1995;221:626-631.
  • 4Chen CC,Wand SS,lee FY,et al.Proinflammatory cytokines in early assement of prognosis of acute pancreatitis[J].Am J Gastorenterol,1999;94:213- 218.
  • 5Norman J.The role of cytokines in the pathogenesis of acute pancreatitis [J].Am J Surg.1998:175:76-83.
  • 6John C,Karen ET,Beat G,et al.Platelet activating factor antagonism reduces the systemic inflammatory response in a murine model of acute pancreatitis[J].J Surg Res,2001 ;99:365-370.
  • 7Johnson C,Kingsnorth A,Imrie C,et al.Double blind,randomised ,placebo controlled study of platelet activaing factor antagonist,lexipafant,in the treatment and prevention of organ failue in predicted severe acute pancreatitis[J].Gut,2001;48:62-69.
  • 8Friess H,Shrikhande S,Riesle E,et al.Phospholipase A2 isoforms in acute pancreatits[J].Ann Surg,2001;233:204-212.
  • 9Schrag HJ,Schmitter N,Aufenanger J,et al.Experimental study of a novel phospholipase A2 inhibition in acute pancreatitis[J].Br J Surg,1998;85:618-623.
  • 10Deviere J,Le Moine O,Van L,et al.Interleukin-10 reduces the incidence of pancreatitis after therepeutic endoscopic retrograde cholangiopancreatography [J].Gastroenterology,2001,120:498-505.

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  • 1彭国林,李兆申.加贝酯防治急性胰腺炎应用现状[J].胰腺病学,2005,5(3):177-179. 被引量:15
  • 2丁卫锋,孔棣.血液净化在重症急性胰腺炎治疗中的应用[J].中国中西医结合外科杂志,2006,12(2):173-175. 被引量:2
  • 3李兴睿,陈孝平.急性重症胰腺炎的抗生素治疗策略[J].医学与哲学(B),2006,27(11):12-14. 被引量:16
  • 4潘文君,宋振山.重症胰腺炎综合治疗的进展[J].包头医学院学报,2007,23(3):332-335. 被引量:1
  • 5Chang MC,Su CH,Sun MS,et al.Etiology of acute pancreatitis-amulti-center study in Taiwan[J].Hepatogastroenterology,2003,50(53):1655-1657.
  • 6谢治卿,黄佑芳.早期血液灌流联合血液透析治疗重症胰腺炎7例疗效观察[J].心理医生(下半月版),2012(3):65-66.
  • 7谢治卿,黄佑芳.早期血液灌流联合血液透析治疗苇症胰腺炎7例疗效观察[J].心理医生:下半月版,2012,16(3):183.
  • 8马国英,刘福胜.血液灌流联合血液透析/血液透析滤过治疗急性重症胰腺炎的临床应用[D].中华医院管婵学会血液净化中心管理分会2008年学术年会论文集,2008:181-182.
  • 9Daniel P, Leniowski B,Jasinska A, et al. Usefulness of as sessing circulating levels of resistin,ghrelin, and IL-18 in alcoholic acute pancreatitis[J]. Digestive Diseases and Sci- ences,2010,55(10) :2982-2987.
  • 10Martin MA, Saracibar E, Santamaria A,et al. Interleukin 18 (IL-18) and other immunological parameters as markers of severity in acute pancreatitis [J]. Revista Espanolade Enfermedades Digestivas, 2008, 100(12) :768-769.

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