帝王切開術後にSystemic inflammatory response syndrome(SIRS)を発症し, 持続的血液濾過透析が有効であった1例

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A 29-year-old woman had continuous remittent fever after cesarean section. The debridement of operation scar and drainage were performed. But remittent fever still lasted and white blood cell count and CRP increased furthermore. The microorganisms were not detected in her ascites and arterial blood by culture system. The levels of inflammatory cytokines such as interleukin-6 and TNF-α in serum were elevated to 1, 300pg/ml and 50pg/ml, respectively. So, continuous hemodiafiltration(CHDF)was done under a diagnosis of systemic inflammatory response syndrome(SIRS). After CHDF for two days, the inflammatory cytokines decreased dramatically and the general findings of the patients recovered rapidly.
社団法人日本産科婦人科学会の論文
2002-01-01