Document Detail


Capillary permeability in septic patients.
MedLine Citation:
PMID:  6744903     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
It is suspected, but still unproven, that the increased capillary permeability which accompanies sepsis and contributes to the development of pulmonary edema (PE) involves systemic as well as pulmonary capillaries. We investigated the relationship between the colloid osmotic pressure of serum (COPS) and edema fluid (COPE) in 16 septic and 19 nonseptic patients with severe generalized edema. COPS values of septic and nonseptic patients were not significantly different (14.6 +/- 2.1 and 15.8 +/- 3.4 torr, respectively). However, the COPE of septic patients was 2.4 +/- 0.7 torr while the COPE of nonseptic patients was 1.3 +/- 0.7 torr. The COPE/COPS ratio was 0.165 in septic patients and 0.084 in nonseptic patients. Both of these differences are significant (p less than .001). It was also possible to discriminate septic from nonseptic patients on the basis of the COPE/COPS ratio. Thus, 16/17 determinations in septic patients had a ratio greater than .1, while 17/22 determinations in nonseptic patients showed a ratio less than .1. PE was present in 8/16 septic patients but in only 2/19 nonseptic patients. These data suggest that the increase in capillary permeability during sepsis is generalized.
Authors:
H Ellman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Critical care medicine     Volume:  12     ISSN:  0090-3493     ISO Abbreviation:  Crit. Care Med.     Publication Date:  1984 Aug 
Date Detail:
Created Date:  1984-09-04     Completed Date:  1984-09-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0355501     Medline TA:  Crit Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  629-33     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Body Fluids / physiology
Capillary Permeability*
Edema / etiology,  physiopathology
Humans
Hydrostatic Pressure
Middle Aged
Osmotic Pressure
Pulmonary Edema / etiology,  physiopathology,  radiography
Sepsis / blood,  complications,  physiopathology*

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