文摘

免疫反应性的内皮素(ETi)和心房利钠肽(ANPi)患者的血液水平衡量等临床脓毒症定义。这两个肽及其之间的交互关系循环冲击和死亡率进行了研究。所有败血症的病人(n = 16)有显著较高的指数(22.3±11.1 pg / ml)和ANPi (398.3±154.3 pg / ml)等离子体浓度与对照组相比(ETi, 4.1±1.2;ANPi, 59.1±14.8 pg / ml;n = 13)。ETi水平后的严重性疾病根据APACHEⅱ评分系统和更高的患者没能活下来。ETi水平显著高于在震惊和菌血症。此外,若是遇到相关与血浆乳酸(r = 0.83, p < 0.05),而不是与肾功能。ANPi水平与这些因素并没有显示相关。入院后连续血液取样,连续6天,显示指数水平逐渐降低血压正常的患者与脓毒性休克患者。 ANPi levels did not show systematic changes in time, and no relationship was observed between ETi and ANPi levels. These results suggest that plasma ETi levels are indicative for disease severity and might have prognostic significance. The role of ANPi during sepsis remains to be eludicated.