特里普林用于治疗耐诺亚上腺素的败血症休克
Lancet (London, England)
|April 17, 2002
概括
特里普林素是一种血管压素类似物,在8名患者中有效治疗了耐火性败血性休克. 这种救援疗法恢复了血压,允许减少血管压缩剂的使用和一些患者的重症监护室出院.
科学领域:
- 临界护理医学 临界护理医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 感染性休克与抗北上腺素抗性低血压携带高死亡率.
- 输血压素输注可能会降低死亡率,但可能会导致反弹性低血压,需要长时间的服用.
- 对于抗甲基胺的败血症休克存在有限的治疗选择.
研究的目的:
- 评价特利普林素作为救援疗法的疗效,在没有对皮质类固醇和甲蓝反应的败血性休克患者.
- 为了评估血压反应的持续时间和terlipressin管理后减压器的需要.
主要方法:
- 八名患有败血性休克的患者的回顾性病例系列.
- 单次注射一剂特利普林素.
- 监测血压反应,上腺素的要求和临床结果.
主要成果:
- 所有八名患者都经历了显著的血压升高持续至少5小时后,单一的terlipressin大剂量.
- 在七名患者中,减少或停止使用诺亚上腺素.
- 四名患者成功从重症监护室出院.
结论:
- 特里普林素是一种有效的救援疗法,用于抗甲基胺抗性败血症休克.
- 单次注射特里普林素可以恢复血压,并减少血管压缩剂的依赖.
- 在这种患者群体中,特里压似乎是一个安全的选择,没有明显的并发症.
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