| Autor: |
Villani, Fabrizio, Galimberti, Milena, Mazzola, Gaetano, Stifani, Italo, Santinami, Mario, Rizzi, Maurilia, Manzi, Renato |
| Zdroj: |
Tumori Journal; May 1995, Vol. 81 Issue: 3 p197-200, 4p |
| Abstrakt: |
Aims We studied cardiac and pulmunaty function in 22 patients affected by in transit metastases from cutaneous melanoma and metastases from soft tissue sarcoma of the limbs and treated with isolation perfusion in extracorporeal circulation with rTNF alpha at doses ranging from 0.5 to 4 mg/m2in mild hyperthermia.Patients and methods All patients experienced a septic-like shock syndrome of variable severity: this feature lasted from 24 to 72 h and was controlled by the infusion of dopamine. Seventeen patients suffered from respiratory insufficiency, which required assisted ventilation (7 cases mechanical ventilation for 1 day, 8 cases for 2 days, and 2 cases synchronized intermittent mandatory ventilation).Results Spirometrie parameters recorded 7-15 days after treatment did not change from baseline values. In contrast, lung transfer factor for carbon monoxide significantly declined in a dose dependent fashion.Conclusions Our data confirm that rTNF alpha administered by isolation perfusion technique induces systemic cardiovascular and pulmonary side effects. Further studies are required to better define time course and reversibility of impaired pulmunary function. |
| Databáze: |
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