EFFECTS OF APROTININ ON HEMORRHAGIC COMPLICATIONS IN ARDS PATIENTS DURING PROLONGED EXTRACORPOREAL CO-2 REMOVAL

被引:24
作者
BRUNET, F
MIRA, JP
BELGHITH, M
LANORE, JJ
SCHLUMBERGER, S
TOULON, P
DHAINAUT, JF
机构
[1] COCHIN PORT ROYAL UNIV,MED INTENS CARE UNIT,PARIS,FRANCE
[2] FOCH HOSP,CARDIAC SURG UNIT,SURESNES,FRANCE
关键词
APROTININ; ADULT RESPIRATORY DISTRESS SYNDROME; EXTRACORPOREAL CO-2 REMOVAL;
D O I
10.1007/BF01694366
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The effects of aprotinin, a broad-based proteinase inhibitor, in the management of hemorrhagic complications during prolonged venovenous extracorporeal CO2 removal in patients with adult respiratory distress syndrome are not evaluated. In two patients, aprotinin infusion was added to heparin to treat bleeding, occurring after few days of bypass and responsible for respiratory and hemodynamic deterioration. After aprotinin infusion (loading dose of 2 x 10(6) kIU followed by a continuous infusion of 5 x 10(5) kIU/h) combined with heparin, bleeding vanished until the end of bypass.
引用
收藏
页码:364 / 367
页数:4
相关论文
共 25 条
  • [1] CATTINONI L, 1986, JAMA-J AM MED ASSOC, V256, P881
  • [2] EFFECT OF APROTININ ON FIBRINOPURULENT PERITONITIS IN RATS
    CHALKIADAKIS, GE
    KOSTAKIS, A
    KARYDAKIS, P
    CHALKIADAKIS, ME
    MATSIKAS, P
    KARAYANNOCCOS, PE
    SECHAS, M
    SKALKEAS, GD
    [J]. AMERICAN JOURNAL OF SURGERY, 1985, 150 (05) : 550 - 553
  • [3] INFLUENCE OF HIGH-DOSE APROTININ TREATMENT ON BLOOD-LOSS AND COAGULATION PATTERNS IN PATIENTS UNDERGOING MYOCARDIAL REVASCULARIZATION
    DIETRICH, W
    SPANNAGL, M
    JOCHUM, M
    WENDT, P
    SCHRAMM, W
    BARANKAY, A
    SEBENING, F
    RICHTER, JA
    [J]. ANESTHESIOLOGY, 1990, 73 (06) : 1119 - 1126
  • [4] REDUCTION OF HOMOLOGOUS BLOOD REQUIREMENT IN CARDIAC-SURGERY BY INTRAOPERATIVE APROTININ APPLICATION - CLINICAL-EXPERIENCE IN 152 CARDIAC SURGICAL PATIENTS
    DIETRICH, W
    BARANKAY, A
    DILTHEY, G
    HENZE, R
    NIEKAU, E
    SEBENING, F
    RICHTER, JA
    [J]. THORACIC AND CARDIOVASCULAR SURGEON, 1989, 37 (02) : 92 - 98
  • [5] ETIENNE A, 1987, INT J TISSUE REACT, V9, P19
  • [6] REDUCTION OF BLOOD-TRANSFUSION REQUIREMENT IN OPEN-HEART SURGERY BY ADMINISTRATION OF HIGH-DOSES OF APROTININ - PRELIMINARY-RESULTS
    FRAEDRICH, G
    WEBER, C
    BERNARD, C
    HETTWER, A
    SCHLOSSER, V
    [J]. THORACIC AND CARDIOVASCULAR SURGEON, 1989, 37 (02) : 89 - 91
  • [7] WHOLE-BLOOD ACTIVATED CLOTTING TIME IN INFANTS DURING EXTRACORPOREAL MEMBRANE-OXYGENATION
    GREEN, TP
    ISHAMSCHOPF, B
    STEINHORN, RH
    SMITH, C
    IRMITER, RJ
    [J]. CRITICAL CARE MEDICINE, 1990, 18 (05) : 494 - 498
  • [8] HABERLAND G, 1979, FED PROC, V38, P2760
  • [9] HARKER LA, 1980, BLOOD, V56, P824
  • [10] HOLLOWAY DS, 1988, THROMB HAEMOSTASIS, V59, P62