Bleeding from the SvO2 monitoring port of PA catheter during cardiac surgery:(出血SvO2监控端口考评的导管在心脏手术).pdfVIP
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CORRESPONDENCE 877
increased capillary permeability, fever and end-organ in-
jury that could be related to disruption of immunology
function. We demonstrated increases of IL-6 and NF con-
centrations during cardiopulmonary bypass. Although
many factors could account for the increases the changes
may reflex surgical and/or cardiopulmonary bypass-
induced depression of immunity in these patients. But,
in cardiac surgery, it should be kept in mind that many
factors including contact activation by blood interfacing
with non-endothelial extracorporeal circuits, hyperther-
mia during rewarming, and foreign antigen administra-
tion can also produce cytokin and inflammatory re-
sponses.
K a z u o A b e MD
Mitsuhiro Nishimura tad
Tetsuo Sakakibara UD FIGURE 1 The slack PA catheter in the SV~ A, PA catheter; B,
Department of Anaesthesia, Cardiovascular Surgery SVC cannula; C, inferior vena cava eannula; D, trachea; E, clavicle.
Osaka Police Hospital
Osaka, Japan
REFERENCES
1 Hisatomi K, lsornura T, Kawara T. Changes in lymphy-
cyte subsets, mitogen responsiveness and interleukin-2 pro-
duction after cardiac operations. J Thorac Cardiovasc Surg
1989;98: 580-91.
2 Ida N, Sakurai S, Hosaka T, et aL An enzyme-linked im-
monosorbent assay for the measurement of human
interleukin-6. J Immunol Method 1991; 133:279-84.
3 Engelberts 1, Moiler A, Schoen GJM, Van der Linden C,
Buurman WA. Evaluation of measurement of human
TNF in plasma by Elisa. Lympho Cytokine Res 1991; 10:
69-76.
Bleedingfrom
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