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Multiorganversagen — DIC — welche Fragen sind offen?

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Multiorganversagen

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

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Zusammenfassung

Auswirkungen des Multiorganversagens auf humorale Hämostasefaktoren stehen derzeit nicht im Mittelpunkt der pathobiochemischen Forschung. Dagegen werden die verschiedenen Botenstoffe von Entzündungs- und Abwehrzellen (Tumor-Nekrose-Faktor, Interleukine), die Regulation der Expression der verschiedenen Entzündungsmediatoren, sowie die beteiligten Signaltransduktionsmechanismen auf zellulärer Ebene intensiv untersucht. Methodische Weiterentwicklungen haben jetzt einen tieferen Einblick in die Funktionen von Endothelzellen, Leukozyten und Thrombozyten bei der Entzündungsreaktion zugelassen. Dabei zeigte sich ein umfangreiches zell- bzw. membranständiges Potential an Hämostase-spezifischen Rezeptoren, Kofaktoren und Aktivatoren.

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Literatur

  1. Bauer K, Rosenberg R (1987) The pathophysiology of the prethrombotic state in humans: insights gained from studies using markers of the haemostatic system activation. Blood 70: 343–350

    PubMed  CAS  Google Scholar 

  2. Bone R, Fischer C, Clemmer T, Slotman G, Metz C, Balk R (1987) A controlled clinical trial of high-dose methylprednisolone in the treatment of severe sepsis and septic shock. N Engl J Med 317: 653–658

    Article  PubMed  CAS  Google Scholar 

  3. Duswald K, Jochum M, Schramm W, Fritz H (1985) Released granulocytic elastase: an indicator of pathobiochemical alterations in septicemia after abdominal surgery. Surgery 9815: 892–899

    Google Scholar 

  4. Emeis J, Kooistra T (1986) Interleukin I and lipopolysaccharide induce an inhibitor of tissue-type plasminogen activator in vivo and in cultured endothelial cells. J Exp Med 163: 1260–1266

    Article  PubMed  CAS  Google Scholar 

  5. Hesselvick J, Blombäck M, Brodin B, Mailer R (1989) Coagulation, fibrinolysis and kallikrein systems in sepsis: relation to outcome. Crit Care Med 17: 724–733

    Article  Google Scholar 

  6. Hoffmann H, Siebeck M, Spannagl M, Weis M, Geiger R, Jochum M, Fritz H (1990) Effect of recombinant hirudin, a specific inhibitor of thrombin, on endotoxin-induced intravascular coagulation and acute lung injury in pigs. Am Rev Respir Dis 142: 782–788

    PubMed  CAS  Google Scholar 

  7. Idell S, Peters J, James K, Fair D, Coaison J (1989) Local abnormalities of coagulation and fibrinolytic pathways that promote alveolar fibrin deposition in the lungs of baboons with diffuse alveolar damage. J Clin Invest 84: 181–193

    Article  PubMed  CAS  Google Scholar 

  8. Kluft C, de Bart A, Barthels M, Sturm J, Möller W (1988) Short term extreme increases in plasminogen activator inhibitor I ( PAI I) in plasma of polytrauma patients. Fibrinolysis 2: 223–226

    Article  Google Scholar 

  9. Müller-Berghaus G (1987) Septicemia and the vessel wall. In: Verstrate M, Vermeulen J, Linjen R, Arnout J (eds) Thrombosis and haemostasis ISTH. Leuven University Press, pp 619–671

    Google Scholar 

  10. Ordog G, Wasserberger J (1985) Coagulation abnormalities in traumatic shock. Ann Emerg Med 14: 650–655

    Article  PubMed  CAS  Google Scholar 

  11. Rodighiero F, Manucci P, Vigano S, Barbui T, Gugliotta L, Cortellaro M, Dini E (1984) Liver dysfunction rather than intravascular coagulation as the main cause of low protein C and antithrombin III in acute leucemia. Blood 63: 965–969

    Google Scholar 

  12. Schramm W, Spannagl M (1991) Differencies in the activation of coagulation and fibrinolysis after polytrauma with respect to the development of ARDS. In: Posttraumatic acute respiratory distress syndrome. Springer, Berlin Heidelberg New York Tokyo, pp 75–87

    Google Scholar 

  13. Schwartz R, Bauer K, Rosenberg R, Kavanaugh E, Davies D, BogdanoffD (1989) Clinical experience with antothrombin III concentrate in treatment of congenital and acquired deficiency of antithrombin. Am J Med [Suppl 3 b] 87: 535–605

    Google Scholar 

  14. Seitz R, Wolf M, Egbring R, Havemann K (1989) The disturbance of hemostasis in septic shock: role of neutrophil elastase an thrombin, antithrombin III and plasma substitution. Eur J Haematol 43: 22–28

    Article  PubMed  CAS  Google Scholar 

  15. Siebeck M, Hoffmann H, Weipert J, Spannagl M (1989) Therapeutic effects of the combination of two proteinase inhibitors in endotoxin shock of the pig. Prog Biol Clin Res 937–943

    Google Scholar 

  16. Siebeck M, Weipert J, Keser C, Kohl I, Spannagi M, Machleidt W, Schweiberer L (1991) A triazolodiazepine platelet activating factor receptor antagonist (WEB 2086) reduces pulmonary dysfunction during endotoxin shock in swine. J Trauma 31: 94–950

    Article  Google Scholar 

  17. Vinazzer H (1989) Therapeutic use of antithrombin III in shock and disseminated intravascular coagulation. Semin Thromb Haemost 15 (3): 347–352

    Article  CAS  Google Scholar 

  18. Witte J, Jochum M, Scherer R, Schramm W, Hochstrasser K, Fritz H (1982) Disturbances of selected plasma proteins in hyperdynamic septic shock. Intensive Care Med 8: 251–262

    Article  Google Scholar 

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© 1992 Springer-Verlag/Wien

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Spannagl, M. (1992). Multiorganversagen — DIC — welche Fragen sind offen?. In: Deutsch, E., et al. Multiorganversagen. Intensivmedizinisches Seminar, vol 4. Springer, Vienna. https://doi.org/10.1007/978-3-7091-9201-6_9

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  • DOI: https://doi.org/10.1007/978-3-7091-9201-6_9

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-82334-7

  • Online ISBN: 978-3-7091-9201-6

  • eBook Packages: Springer Book Archive

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