分子吸附再循环系统对冠心病并发重度脓毒症患者心率和动脉压的影响

Impact of molecular adsorbent recirculating system on heart rate and arterial pressure in patients of coronary heart disease complicated with severe sepsis

目的研究分子吸附再循环系统(MARS)对冠心病并发重度脓毒症患者心率和动脉压的影响。方法对2002年11月至2004年2月在ICU治疗的冠心病并发重度脓毒症患者所进行的12次床边MARS治疗有关资料进行回顾性分析和探讨。结果MARS治疗4 h后患者心率显著减慢,收缩压、舒张压和平均动脉压明显升高。结论MARS可改善MODS患者血流动力学指标。

Objective: To study the effect of the molecular adsorbent recirculation system (MARS) on heart rate and arterial pressure in patients of coronary heart disease complating with severe sepsis. Methods: Review and follow-up patients of coronary heart disease complating with severe sepsis been treated for 12 treatments with MARS bedside in ICU from November 2002 to February 2004. Results: The heart rate decreased significantly, systolic pressure, diastolic pressure and mean arterial pressure increased significantly after 4 hours-treatment of MARS compared with those before MARS. Conclusions: MARS could improve the hemodynamics in patients of coronary heart disease complating with severe sepsis.