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Extrakorporale Therapieverfahren: Möglichkeiten und klinische Relevanz bei Patienten mit septischem Multiorganversagen

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Book cover Multiorganversagen

Part of the book series: Intensivmedizinisches Seminar ((INTENSIVM.SEM.,volume 4))

Zusammenfassung

Bei schwerkranken Patienten auf Intensivstationen stellen Sepsis und septischer Schock nach wie vor eine der häufigsten Todesursachen dar [48]. Besonders beim septischen Schock blieb die Letalitätsrate mit 50–60% [46] trotz moderner intensivmedizinischer Maßnahmen über die letzten Jahrzehnte unverändert hoch [3]. Entscheidend für die Prognose der septischen Patienten ist dabei weniger das Ausmaß und die Art der Infektion als vielmehr die Entwicklung und Schwere des septischen Multiorganversagens (MOV) [40]. Sepsis und septischer Schock sind auch Hauptursache des akuten Nierenversagens (ANV) auf Intensivstationen [42, 58, 67, 68], was die Prognose zusätzlich verschlechtert [3, 7, 21, 33, 43].

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Authors and Affiliations

  1. Medizinische Klinik I, Klinikum Großhadern, Ludwig-Maximilian-Universität, München, Bundesrepublik Deutschland

    S. Kääb, Dr. G. Pilz, R. Appel, W. Samtleben, H. J. Gurland & K. Werdan

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    Erwin Deutsch , Kurt Lenz , Bruno Schneeweiß , Georg Simbruner  & Jörg Slany , , ,  & 

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Kääb, S., Pilz, G., Appel, R., Samtleben, W., Gurland, H.J., Werdan, K. (1992). Extrakorporale Therapieverfahren: Möglichkeiten und klinische Relevanz bei Patienten mit septischem Multiorganversagen. In: Deutsch, E., et al. Multiorganversagen. Intensivmedizinisches Seminar, vol 4. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9201-6_17

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