TY - JOUR T1 - 肺炎期间不安肺泡纤维蛋白周转受限于感染JF部位 - 欧洲呼吸杂志JO - EUR呼吸杂志SP - 786 LP - 789 DO - 10.1183 / 09031936.04.00140703 VL - 24 - 5 AU - 彩, G. AU - Schultz, M.J. AU - van Till, J.W.O. AU - Bresser, P. AU - van der Zee, J.S. AU - Boermeester, M.A. AU - Levi, M. AU - van der Poll, T. Y1 - 2004/11/01 UR - //www.qdcxjkg.com/content/24/5/786.abstract N2 - Severe infection is associated with profound alterations in the systemic haemostatic balance, with activation of coagulation and suppressed fibrinolysis. Within the alveolar compartment, similar disturbances have been described during pulmonary inflammation. The current authors investigated whether local haemostasis was influenced during ventilator-associated pneumonia (VAP). In five patients with unilateral VAP, bronchoalveolar lavage fluid (BALF) was obtained from both the infected site (as identified on chest radiograph) and the contralateral noninfected lung (with no clinical or radiographic abnormalities). Markers for coagulation and fibrinolysis were compared between infected and noninfected lungs. A total of 10 healthy volunteers and 10 mechanically ventilated patients without pneumonia served as controls. Strong activation of coagulation (high levels of thrombin-antithrombin complexes, soluble tissue factor and factor VIIa) was detected in BALF from infected lungs, compared with that from noninfected lungs and controls. Furthermore, in infected lungs, fibrinolysis was depressed, with high levels of plasminogen activator inhibitor type 1. In conclusion, ventilator-associated pneumonia is characterised by a hypercoagulant state at the site of infection. ER -