Elevated level of proinflammatory cytokines is an early symptom of endometritis after partus caesarius
- Авторы: Belokrinitskaya T.1, Vitkovsky Y.1
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Учреждения:
- Chita Medical Academy
- Выпуск: Том 48, № 5S (1999)
- Страницы: 43-43
- Раздел: Статьи
- Статья получена: 15.02.2022
- Статья одобрена: 15.02.2022
- Статья опубликована: 15.12.1999
- URL: https://journals.eco-vector.com/jowd/article/view/100806
- DOI: https://doi.org/10.17816/JOWD100806
- ID: 100806
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Аннотация
Objective: Postoperative endometritis in puerperium is a grave risk factor to mother’s invalidization and mortality. Preventive application of antibiotics leads to asymptomatic onset of the disease and delay of the full value complexive therapy.
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Objective: Postoperative endometritis in puerperium is a grave risk factor to mother's invalidization and mortality. Preventive application of antibiotics leads to asymptomatic onset of the disease and delay of the full value complexive therapy.
Methods: The study was performed on blood of 18 puerperas with a high risk of postoperative endometritis. Lymphocyte subpopulations were determined by indirect surface immunofluorescence cytokines (IL-l-alpha, IL-l-beta, IL-8, TNF-alpha) were tested by double-antibody enzyme immunoassay, hemostatic condition was examined by coagulation tests on 1-st, 3-rd, 5-th and 7-th days of puerperium.
Results: It was observed that the levels of inflammatory cytokines of women on the 1-st day after partus caesarius were elevated. In patients with an uncomplicated postoperative period (1-st group) the concentration of inflammatory cytokines decreased and normalized from 3-rd till 7-th days. Symptoms of endometritis appeared in cases when the levels of inflammatory cytokines increased from 3-rd till 7-th days after abdominal delivery (2d group). Contents of IL-l-alpha and TNF-alpha increased more considerably than the levels of IL-l-beta and IL-8. Concentrations of inflammatory cytokines correlated with immune and hemostasis parameters. In females of the 2-nd group hypercoagulation was intensified, levels of antithrombin III and protein C were decreased, fibrin degradation products were noted, the number of CD3+, CD22+ lymphocytes was decreased, the ratio CD4+/CD8+ was reduced neutrophil phagocytic activity was intensified.
Conclusion: Elevated levels of inflammatory cytokines in the blood of puerperas from 3-rd till 5-th days past partus caesarius can be regarded as a prognostic sign of postoperative endometritis.
Об авторах
T. Belokrinitskaya
Chita Medical Academy
Автор, ответственный за переписку.
Email: info@eco-vector.com
Россия, Chita
Yu. Vitkovsky
Chita Medical Academy
Email: info@eco-vector.com
Россия, Chita