危重患者毛细血管渗漏综合征  

Capillary leak syndrome in critically ill patients

作　　者：田卓民[1] 金涛[1] 何慧英[1] 刘学花[1] 李大祥[1] 

机构地区：[1]天津市人民医院ICU,天津300121

出　　处：《中国急救医学》2005年第5期333-335,共3页Chinese Journal of Critical Care Medicine

摘　　要：目的　探讨代血浆与血制品对毛细血管渗漏综合征(Capillaryleaksyndrome ,CLS)患者中心静脉压(CVP)和平均动脉压(MAP)的影响。方法　依据单纯输入70 6代血浆、单纯输入新鲜冰冻血浆(FFP)和二者兼输,将临床诊断为CLS的4 8例患者分3组,监测治疗前后CVP与MAP的变化。结果　总体分析,4 8例患者治疗前后的CVP与MAP的变化有显著性。分组比较,70 6代血浆输入组的CVP变化与非70 6代血浆输入组比较有显著性差异,而三组中任何两组间的MAP变化均无显著性。结论　70 6代血浆对CLS患者的血容量恢复效果优于FFP。Objective To explore the effects of plasma substitutes and blood products on central venous pressure (CVP) and mean arterial pressure (MAP) in the patients with capillary leak syndrome. Methods 48 patients were divided into three groups, group 1 with infusion of No. 706 plasma substitutes; group 2 with fresh frozen plasma (FFP), group 3 with both. CVP and MAP were monitored before and after the infusion. Results There were significant differences in CVP and MAP in 48 patients before and after the infusion. There were significant differences in CVP between group 1 and two other groups. There were no significant differences in MAP in any two groups.Conclusion No. 706 plasma substitutes had more advantages than FFP for restoring blood volume in CLS patients.

关 键 词：毛细血管渗漏综合征 代血浆 新鲜冰冻血浆 中心静脉压 平均动脉压 

分 类 号：R459.7[医药卫生—急诊医学]