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Antithrombin Replacement in DIC and MOF

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Book cover Yearbook of Intensive Care and Emergency Medicine

Part of the book series: Yearbook of Intensive Care and Emergency Medicine ((YEARBOOK,volume 1995))

Abstract

Gram-negative septicemia is a major clinical problem, because it is difficult to combat and is associated with a mortality of >50% [1]. Endotoxin released from the bacterial cell wall induced a wide variety of pathological conditions including disseminated intravascular coagulation (DIC) and acute respiratory distress syndrome (ARDS) [2]. The occurrence of these catastrophic events in septicemia is thought to be related to the action of cytokines or other inflammatory mediators derived from activated leukocytes [2]. Among the abnormalities of organ function observed in septicemia, acute respiratory failure is particularly important because it can result in ARDS which can be a prerequisite for multiple organ failure (MOF) [3, 4].

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References

  1. Parrillo JE (1993) Pathogenic mechanisms of septic shock. N Engl J Med 328: 1471–1477

    Article  PubMed  CAS  Google Scholar 

  2. St. John RC, Dorinsky PM (1993) Immunologic therapy for ARDS, septic shock, and multiple organ failure. Chest 103: 932–943

    Article  PubMed  CAS  Google Scholar 

  3. Bone RC (1992) Modulators of coagulation. Arch Intern Med 152: 1381–1389

    Article  PubMed  CAS  Google Scholar 

  4. Bone RC, Maunder R, Slotman H, et al (1989) An early test of survival in patients with the adult respiratory distress syndrome. Chest 96: 849–855

    Article  PubMed  CAS  Google Scholar 

  5. Buller HR, ten Cate JW (1989) Acquired antithrombin III deficiency: Laboratory diagnosis, incidence, clinical implications and treatment with antithrombin III concentrate. Am J Med 87 (Suppl. 3B): 44S–48S

    Article  PubMed  CAS  Google Scholar 

  6. Rubli E, Bussard S, Frei E (1983) Plasma fibronectin and associated variables in surgical care patients. Ann Surg 197: 310–316

    Article  PubMed  CAS  Google Scholar 

  7. Fourrier F, Chopin C, Goudemand J, et al (1992) Septic shock, multiple organ failure and disseminated intravascular coagulation. Chest 101: 816–823

    Article  PubMed  CAS  Google Scholar 

  8. Emerson TE Jr, Fournal MA, Redens TB, Taylor FB Jr (1989) Efficacy of antithrombin III supplementation in animal models of fluminant Escherichia coli endotoxemia or bacteremia. Am J Med 87 (Suppl. 3B): 27S–33S

    Article  PubMed  Google Scholar 

  9. Vinazzer H (1989) Therapeutic use of antithrombin III in shock and disseminated intravascular coagulation. Semin Thromb Hemostas 15: 347–352

    Article  CAS  Google Scholar 

  10. DeLee JB (1901) A case of fatal hemorrhagic diathesis with premature detachment of the placenta. Am J Obstet 44: 785–791

    Google Scholar 

  11. Thomas I, Good RA (1952) Studies on the generalized Schwarzman reaction. I. General observation concerning the phenomenon. J Exp Med 96: 605–624

    Article  PubMed  CAS  Google Scholar 

  12. Okajima K, Wang YP, Okabe H, Inoue M, Takatsuki K (1991) Role of leukocytes in the activation of intravascular coagulation in patients with septicemia. Am J Hematol 36: 265–271

    Article  PubMed  CAS  Google Scholar 

  13. Okajima K, Fujise R, Motosato Y, Ushijima M, Okabe H, Takatsuki K (1994) Plasma levels of granulocyte elastase-α1-proteinase inhibitor complex in patients with disseminated intravascular coagulation: Pathophysiological implications. Am J Hematol 47: 82–88

    Article  PubMed  CAS  Google Scholar 

  14. Abe H, Okajima K, Okabe H, Takatsuki K, Binder BR (1994) Granulocyte proteases and hydrogen peroxide synergistically inactivate thrombomodulin of endothelial cells in vitro. J Lab Clin Med 123: 874–881

    PubMed  CAS  Google Scholar 

  15. Mulligan MS, Varani J, Dame MK, et al (1991) Role of endothelial leukocyte adhesion molecule-1 (ELAM-1) in neutrophil-mediated lung injury in rats. J Clin Invest 88: 1396–1406

    Article  PubMed  CAS  Google Scholar 

  16. Yamauchi T, Umeda F, Inoguchi T, et al (1989) Antithrombin III stimulates prostacyclin production by cultured aortic endothelial cells. Biochem Biophys Res Commun 163: 1404–1411

    Article  PubMed  CAS  Google Scholar 

  17. Horie S, Ishii H, Kazama M (1990) Heparin-like glycosaminoglycan is a receptor for antithrombin Ill-dependent but not for thrombin-dependent prostacyclin production in human endothelial cells. Thromb Res 59: 895–904

    Article  PubMed  CAS  Google Scholar 

  18. Uchiba M, Okajima K, Murakami K, Okabe H, Takatsuki K (1994) Antithrombin III attenuates endotoxin-induced rat pulmonary vascular injury through promotion of prostacyclin release from endothelial cells. Br J Haematol 87 (Suppl. 1): 56

    Google Scholar 

  19. Triantaphyllopoulos DC (1984) Effect of human antithrombin III on mortality and blood coagulation induced in rabbits by endotoxin. Thromb Haemostas 51: 232–235

    CAS  Google Scholar 

  20. Coalson JJ, Benjamin B, Archer LT, et al (1978) Prolonged shock in the baboon subjected to infusion of E. coli endotoxin. Circ Shock 5: 423–437

    PubMed  CAS  Google Scholar 

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© 1995 Springer-Verlag Berlin Heidelberg

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Okajima, K., Uchiba, M., Murakami, K. (1995). Antithrombin Replacement in DIC and MOF. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine. Yearbook of Intensive Care and Emergency Medicine, vol 1995. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79154-3_37

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  • DOI: https://doi.org/10.1007/978-3-642-79154-3_37

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-58256-4

  • Online ISBN: 978-3-642-79154-3

  • eBook Packages: Springer Book Archive

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