分子吸附再循环系统在机械通气重度脓毒症患者中的应用  

Clinical study of the molecular adsorbent recirculating system in the treatment of severe sepsis patients with ventilation

作　　者：李轶男[1] 罗红涛[2] 周立新[1] 马明远[1] 誉铁鸥[1] 方滨[1] 温伟标[1] 苏艳玲[1] 邹毅成[1] 

机构地区：[1]广东省佛山市第一人民医院ICU,广东佛山528000 [2]广东省佛山市第一人民医院感染科,广东佛山528000

出　　处：《中国急救医学》2004年第5期330-332,共3页Chinese Journal of Critical Care Medicine

摘　　要：目的　研究分子吸附再循环系统 (MARS)对机械通气的重度脓毒症患者氧合功能、气道峰压和血流动力学的影响。方法　对 2 0 0 2 - 11～ 2 0 0 3- 12我们ICU机械通气重度脓毒症患者所进行的 2 7次床边MARS治疗的有关资料进行回顾性分析和探讨。结果　MARS治疗前后动脉血气中pH值和PaCO2 无明显变化 ,MARS治疗过程中患者PaO2 、SaO2 及氧合指数(PaO2 /FiO2 )均有显著改善 ,气道峰压明显降低 ,心率显著减慢 ,平均动脉压明显升高。结论　MARS可改善机械通气重度脓毒症患者氧合功能及血流动力学指标 ,并能降低患者气道峰压。Objective To study the effect of the molecular adsorbent recirculation system ( MARS) on oxygenation , peak inspiratory airway pressure and hemodynamics in severe sepsis patients with ventilation. Methods We reviewed and follow-uped severe sepsis patients with ventilation been treated for 27 treatments with MARS bedsides in ICU from November 2002 to December 2003. Results There was no significant difference in pH and PaCO 2 between post-MARS and pre-MARS.PaO 2,SaO 2 and oxygenation index(PaO 2/FiO 2) increased significantly,peak inspiratory airway pressure and heart rate decreased significantly ,and mean arterial pressure increased significantly. Conclusions MARS could improve the oxygenation and hemodynamics,and decrease peak inspiratory airway pressure in severe sepsis patients with ventilation

关 键 词：分子吸附再循环系统 机械通气 脓毒症 氧合 血流动力学 气道压 

分 类 号：R631.2[医药卫生—外科学]