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The systemic inflammatory response syndrome in acute antipsychotic poisoning

机译:急性抗精神病毒中毒中的全身炎症反应综合征

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The purpose of this study was to investigate the mutual effect of systemic inflammatory response syndrome (SIRS) accompanied with fibrinolysis, endotoxemia, and coagulation in severe cases of antipsychotic poisoning. A total of 199 patients were examined, of which 71 were men and 128 were women. The age of the patients was from 22 to 63 years, (45.3 ± 6.1 years on average). According to the results of the course of therapy, the patients were divided into two groups. In the blood plasma, the content of C-reactive protein, fibrinogen and its proteolysis products (oligopeptides, D-dimers), interleukin-6 were determined. In the first 1 to 3 days, in group 1, the level of interleukin-6 decreased and approached the normal level (P < .05). The opposite trend continued throughout the observation of patients from group 2—their levels of interleukin-6 increased day by day (P<.05). The concentration of D-dimer already in 1 day after admission to intensive care in patients from group 2 exceeded the norm by 14 times (P< .05). The level of D-dimer correlated with the level of oligopeptides in blood plasma upon admission, as well as for 3 and 5 days after admission to intensive care: 0.36, 0.76 at P< .05, 0.94 at P< .01, respectively. Similar correlations were obtained for the content of oligopeptides in urine and the level of D-dimer: 0.55, 0.85 at P < .05, 0.93 at P < .01. In this regard, the most pronounced correlation is that between the SIRS score, plasma D-dimer level, and the plasma level of the D-dimer derivatives, oligopeptides.
机译:本研究旨在探讨全身炎症反应综合征(SIRS)伴纤维蛋白溶解、内毒素血症和凝血在严重抗精神病药中毒病例中的相互作用。共检查了199名患者,其中71名为男性,128名为女性。患者年龄22~63岁(平均45.3±6.1岁)。根据疗程结果,将患者分为两组。测定血浆中C-反应蛋白、纤维蛋白原及其蛋白水解产物(寡肽、D-二聚体)、白细胞介素-6的含量。在第1至3天,第1组的白细胞介素-6水平下降并接近正常水平(P<0.05)。在对第2组患者的整个观察过程中,相反的趋势持续存在——他们的白细胞介素-6水平一天比一天高(P<0.05)。第2组患者入院后1天内的D-二聚体浓度超过正常值14倍(P<0.05)。D-二聚体水平与入院时以及入院后3天和5天血浆中的寡肽水平相关:分别为0.36、0.76(P<0.05)和0.94(P<0.01)。尿中寡肽含量与D-二聚体水平之间也存在类似的相关性:P<0.05时为0.55,P<0.85,P<0.01时为0.93。在这方面,最显著的相关性是SIRS评分、血浆D-二聚体水平和血浆D-二聚体衍生物寡肽水平之间的相关性。

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