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首页> 外文期刊>Cytokine >Relationship between cerebral injury and inflammatory responses in patients undergoing cardiac surgery with cardiopulmonary bypass.
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Relationship between cerebral injury and inflammatory responses in patients undergoing cardiac surgery with cardiopulmonary bypass.

机译:体外循环心脏手术患者脑损伤与炎症反应的关系。

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摘要

This study was performed to evaluate whether cytokines, adhesion molecules, ghrelin and S-100B are useful markers in predicting the cerebral infarction after cardiac surgery with cardioplumomary bypass (CPB). The patients (n=20) were classified into two groups; group A (n=4) showed postoperative organized cerebral damage, while group B (n=16) consisted of patients without occurrence of postoperative strokes. Before CPB, serum levels of S-100B in both groups A and B were low (<0.5ng/mL), while ghrelin concentrations in group A (all patients had history of strokes) were much higher than those in group B. After CPB, when serum levels of S-100B in group A at 24h were higher than those in group B, ghrelin in group A at same time point showed high levels in comparison to group B. At 12 and 24h after CPB, levels of tumor necrosis factor (TNF)-alpha, interleukin-10 and soluble TNF-receptor I in group A were significantly higher than those in group B. In conclusion, it is considered that ghrelin as well as S-100B can be a useful marker for the prediction of stoke after CPB. Increase of TNF-alpha, interleukin-10 and soluble TNF-receptor I after CPB may be involved in the pathogenesis of stroke after CPB.
机译:进行这项研究是为了评估细胞因子,粘附分子,生长素释放肽和S-100B在预测心脏手术与心肺功能搭桥术(CPB)后的脑梗塞中是否有用。患者(n = 20)分为两组。 A组(n = 4)显示术后有组织的脑损伤,而B组(n = 16)包括未发生中风的患者。 CPB之前,A组和B组的S-100B血清水平均较低(<0.5ng / mL),而A组(所有患者均有中风史)中的生长素释放肽浓度远高于B组。 ,当A组24h的S-100B血清水平高于B组时,A组的生长素释放肽在同一时间点比B组高。在CPB后12和24h,肿瘤坏死因子水平A组的(TNF)-α,白细胞介素10和可溶性TNF受体I显着高于B组。总之,认为生长素释放肽和S-100B可以作为预测脑膜炎的有用标志物在CPB之后抚摸。 CPB后TNF-α,白介素10和可溶性TNF-受体I的升高可能与CPB后中风的发病机制有关。

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