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Treatment of Systemic Inflammatory Response Syndrome (SIRS) Following Open Heart Surgery Developed into Shock - A case report-  

이동석 (한림대학교 의과대학 흉부외과학교실)
신윤철 (한림대학교 의과대학 흉부외과학교실)
김응중 (한림대학교 의과대학 흉부외과학교실)
지현근 (한림대학교 의과대학 흉부외과학교실)
Publication Information
Journal of Chest Surgery / v.37, no.11, 2004 , pp. 922-924 More about this Journal
Abstract
A 55 year old male was admitted for dyspnea. The patient was diagnosed as acute myocardiac infarction, and coronary artery bypass grafting was performed with cardiopulmonary bypass. At postoperative day #1, Systemic Inflammatory Response Syndrome was developed with fever, leukocytosis, tachycardia, tachypnea and low systemic vascular resistance. The patient was recovered after being treated with high dose of (36 $\mug/min)$ norepinephrine, and was discharged.
Keywords
Inflammatory response syndrome, systemic; Shock;
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1 Rangel-Frausto MS, Pittet D, Costigan M, Hwang T, Davis CS, Wenzel UP. The natural history of the systemic inflammatory response syndrome (SIRS). JAMA 1995;273;117-23.
2 Berger D, Bolke E, Huegel H, et al. New aspects concerning the regulation of the postoperative acute phase reaction during cardiac surgery. Clinica Chimica Acta 1995;239;121-30
3 Ricardo LL, Marcela AD, Gustavo FB, et al. Methylene blue reduces mortality and morbidity in vasoplegic patients after cardiac surgery. Ann Thorac Surg 2004;77;496-9
4 Park KH, Choi SC, Han IY, Choi KL, Choi KJ, Cho KH. Relationship between interleukin-6 production and inflammatory response during cardiopulmonary bypass. Korean J Thorac Cardiovasc Surg 2000;33;407-18.
5 Beal Al, Cerra FB. Multiple organ failure syndrome in the 1990s. JAMA 1994;268;3452-5
6 Wan S, LeClerc JL, Vincent JL. Inflammatory response to cardiopulmonary bypass: mechanisms involved and possible therapeutic strategies. Chest 1997;112;676-92
7 Cremer J, Martin M, Redl H. Systemic inflammatory response syndrome after cardic operation. Ann Thorac Surg 1996;61;1714-20
8 Members of the American College of Chest Physicians/ Society of Critical Care Medicine Consensus Conference Committee. Definition for sepsis and organ failure and guidelines for the innovative therapies in sepsis. Crit Care Med 1992;20:864-74   DOI   ScienceOn