Effect of blood purification on extravascular lung water and permeability index in extrapulmonary acute respiratory distress syndrome
10.3760/cma.j.issn.1673-4904.2014.22.010
- VernacularTitle:血液净化对肺外型急性呼吸窘迫综合征肺血管外肺水及通透指数的影响
- Author:
Wei ZHANG
;
Weiwei CHEN
;
Yuanfang WANG
;
Jianping LI
;
Yang YANG
- Publication Type:Journal Article
- Keywords:
Respiratory distress syndrome;
adult;
Extravascular lung water;
Pulmonary vascular permeability index;
Continuous blood purification
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(22):32-34
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effects of continuous blood purification(CBP) on extravascular lung water and permeability index in patients with severe extrapulmonary acute respiratory distress syndrome (ARDSexp).Methods Fifteen patients with severe ARDSexp were treated with CBP.The level of extravascular lung water index (EVLWI) and pulmonary vascular permeability index (PVPI) was measured before and after treatment,and at the same time the changes of inflammatory indicators were recorded.Results Compared with that before treatment,EVLWI and PVPI was decreased obviously after treatment (P ＜ 0.01),the level of C-reactive protein and interleukin 6 (IL-6),calcitonin and systemic inflammatory response syndrome score and the acute physiology and chronic health Ⅱ score was significantly decreased (P ＜ 0.01).Conclusion CBP can improve the level of EVLWI,PVPI and inflammatory indicators and also the prognosis of severe ARDSexp.
