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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
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
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
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
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
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
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
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
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
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
Ordog G, Wasserberger J (1985) Coagulation abnormalities in traumatic shock. Ann Emerg Med 14: 650–655
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
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
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
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
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
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
Vinazzer H (1989) Therapeutic use of antithrombin III in shock and disseminated intravascular coagulation. Semin Thromb Haemost 15 (3): 347–352
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
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1992 Springer-Verlag/Wien
About this chapter
Cite this chapter
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
Download citation
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