Blood purification therapy for sepsis

被引:10
作者
Sakata, Hiromi [1 ]
Yonekawa, Motoki [1 ]
Kawamura, Akio [1 ]
机构
[1] Sapporo Hokuyu Hosp, Dept Surg, Res Inst Artificial Organs Transplantat & Gene Th, Shiroishi Ku, Sapporo, Hokkaido 0030006, Japan
关键词
D O I
10.1016/j.transci.2006.06.003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Accumulating evidences Of underlining pathogenesis of sepsis have contributed to the therapeutic strategy for sepsis. Not only endotoxin and cytokine, but also signal transduction through Toll-like receptors could be a strategic target for the management of sepsis. Blood purification therapy including polymyxin B-immobilized hemoperfusion cartridge and continuous hemodialiltration has shown the beneficial effect on patients with sepsis in Japan. Although they were initially designed to remove endotoxin and cytokines respectively, they might eliminate unexpected mediators responsible for sepsis. Further elucidation of mechanism and randomized controlled studies are needed to establish the role of blood purification therapy in sepsis. (c) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码:245 / 251
页数:7
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