Experimental study of early blood purification in the treatment of post traumatic pulmonary fat embolism

OBJECTIVE: To study the effect of early continuous blood purification (CBP) in the treatment of post-traumatic pulmonary fat embolism in dog

Détails bibliographiques
Publié dans:Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue. - 1998. - 21(2009), 11 vom: 25. Nov., Seite 672-5
Auteur principal: Zhou, Fei-hu (Auteur)
Autres auteurs: Yue, Hui, Ji, Jun, Song, Qing
Format: Article
Langue:Chinese
Publié: 2009
Accès à la collection:Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue
Sujets:English Abstract Journal Article Research Support, Non-U.S. Gov't Interleukin-1beta Interleukin-6 Tumor Necrosis Factor-alpha
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245 1 0 |a Experimental study of early blood purification in the treatment of post traumatic pulmonary fat embolism 
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500 |a published: Print 
500 |a Citation Status MEDLINE 
520 |a OBJECTIVE: To study the effect of early continuous blood purification (CBP) in the treatment of post-traumatic pulmonary fat embolism in dog 
520 |a METHODS: Twelve healthy male mongrel dogs were randomly divided into two groups: group A received intramedullary reaming and bone cement injection of bilateral femurs (n=6), and group B received CBP simultaneously at the beginning of the same operation and continued until 120 minutes after the end of the operation (n=6). The changes in arterial blood gas and related cytokines were monitored at various time points. The animals were sacrificed 120 minutes after the operation, and the lungs were obtained for examination, and the amount of oil red O stained fat emboli was recorded 
520 |a RESULTS: In group A, the mean pulmonary arterial pressure (MPAP), pulmonary capillary wedge pressure (PCWP) and extravascular lung water (EVLW) increased after the manipulation in single femur, and these changes persisted after the manipulation on both femurs (all P<0.05). There was a decrease in pH and arterial partial pressure of oxygen (PaO2) and an increase in arterial partial pressure of carbon dioxide (PaCO2), tumor necrosis factor-alpha (TNF-alpha), interleukin-1 beta (IL-1 beta) and IL-6 after the operation on both femurs, showing significant differences compared with those of pre-operation period (all P<0.05). In group B, the hemodynamics, contents of cytokines and arterial blood gases were stable. Compared with those of group A, there was a significant decrease in the number of pulmonary fat emboli in group B (4.17+/-1.99 vs. 18.13+/-6.25, P<0.05) 
520 |a CONCLUSION: The therapy of CBP could decrease the level of the serum TNF-alpha, IL-1 beta , IL-6 and EVLW, MPAP, PCWP, which could ameliorate gas exchange and oxygenation of the lung. And it also could reduce the number of pulmonary fat emboli and decrease the incidence of pulmonary fat embolism caused by femoral intramedullary operation 
650 4 |a English Abstract 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
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700 1 |a Yue, Hui  |e verfasserin  |4 aut 
700 1 |a Ji, Jun  |e verfasserin  |4 aut 
700 1 |a Song, Qing  |e verfasserin  |4 aut 
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