Lipid Peroxidation and Hemostatic Disorders in the Pathogenesis of Toxemia in Patients with Destructive Pneumonias

Objective: to study a role of lipid oxidation processes and hemostatical disorders in the pathogenesis of endogenous intoxication in patients with varying destructive complications of severe pneumonia. Subjects and methods. Sixty-two patients with destructive complications of severe pneumonia were e...

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Main Authors: S. P. Lapshin, V. T. Dolgikh, K. K. Kozlov
Format: Article
Language:English
Published: Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia 2007-06-01
Series:Общая реаниматология
Online Access:https://www.reanimatology.com/rmt/article/view/1026
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author S. P. Lapshin
V. T. Dolgikh
K. K. Kozlov
author_facet S. P. Lapshin
V. T. Dolgikh
K. K. Kozlov
author_sort S. P. Lapshin
collection DOAJ
description Objective: to study a role of lipid oxidation processes and hemostatical disorders in the pathogenesis of endogenous intoxication in patients with varying destructive complications of severe pneumonia. Subjects and methods. Sixty-two patients with destructive complications of severe pneumonia were examined; the parameters of endotoxicosis, lipid peroxidation, and impairments in the blood aggregation regulatory system were studied. Results. An acute destructive process has been established to be attended by the higher rates of lipid peroxidation, which causes phasic changes in catalase activity. Enhanced platelet functional activity in the presence of endotheliopathy and plasma thrombinemia results in the increased uptake of coagulation factors; inhibited fibrinolysis promotes the progression of microthrombogenesis, which presents as disseminated intravascular clotting (DIC). Conclusion. The accumulation of lipid peroxidation products is shown to substantially aggravate the course of a pathological pulmonary process in destructive complications of community-acquired pneumonia. Elevated thrombinemia in the presence of endotheliopathy induces acute DIC. Key words: pneumonia, destructive complications, endotoxemia, lipoperoxida-tion, hemostatic disorders.
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spelling doaj.art-2e7452a4cee64959b8befa5b0b35c1d02023-03-13T09:32:47ZengFederal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, RussiaОбщая реаниматология1813-97792411-71102007-06-013310.15360/1813-9779-2007-3-771026Lipid Peroxidation and Hemostatic Disorders in the Pathogenesis of Toxemia in Patients with Destructive PneumoniasS. P. LapshinV. T. DolgikhK. K. KozlovObjective: to study a role of lipid oxidation processes and hemostatical disorders in the pathogenesis of endogenous intoxication in patients with varying destructive complications of severe pneumonia. Subjects and methods. Sixty-two patients with destructive complications of severe pneumonia were examined; the parameters of endotoxicosis, lipid peroxidation, and impairments in the blood aggregation regulatory system were studied. Results. An acute destructive process has been established to be attended by the higher rates of lipid peroxidation, which causes phasic changes in catalase activity. Enhanced platelet functional activity in the presence of endotheliopathy and plasma thrombinemia results in the increased uptake of coagulation factors; inhibited fibrinolysis promotes the progression of microthrombogenesis, which presents as disseminated intravascular clotting (DIC). Conclusion. The accumulation of lipid peroxidation products is shown to substantially aggravate the course of a pathological pulmonary process in destructive complications of community-acquired pneumonia. Elevated thrombinemia in the presence of endotheliopathy induces acute DIC. Key words: pneumonia, destructive complications, endotoxemia, lipoperoxida-tion, hemostatic disorders.https://www.reanimatology.com/rmt/article/view/1026
spellingShingle S. P. Lapshin
V. T. Dolgikh
K. K. Kozlov
Lipid Peroxidation and Hemostatic Disorders in the Pathogenesis of Toxemia in Patients with Destructive Pneumonias
Общая реаниматология
title Lipid Peroxidation and Hemostatic Disorders in the Pathogenesis of Toxemia in Patients with Destructive Pneumonias
title_full Lipid Peroxidation and Hemostatic Disorders in the Pathogenesis of Toxemia in Patients with Destructive Pneumonias
title_fullStr Lipid Peroxidation and Hemostatic Disorders in the Pathogenesis of Toxemia in Patients with Destructive Pneumonias
title_full_unstemmed Lipid Peroxidation and Hemostatic Disorders in the Pathogenesis of Toxemia in Patients with Destructive Pneumonias
title_short Lipid Peroxidation and Hemostatic Disorders in the Pathogenesis of Toxemia in Patients with Destructive Pneumonias
title_sort lipid peroxidation and hemostatic disorders in the pathogenesis of toxemia in patients with destructive pneumonias
url https://www.reanimatology.com/rmt/article/view/1026
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AT vtdolgikh lipidperoxidationandhemostaticdisordersinthepathogenesisoftoxemiainpatientswithdestructivepneumonias
AT kkkozlov lipidperoxidationandhemostaticdisordersinthepathogenesisoftoxemiainpatientswithdestructivepneumonias