中国急救医学
中國急救醫學
중국급구의학
CHINESE JOURNAL OF CRITICAL CARE MEDICINE
2014年
10期
881-885
,共5页
曹天辉(综述)%赵鸣雁(审校)
曹天輝(綜述)%趙鳴雁(審校)
조천휘(종술)%조명안(심교)
脓毒症%氧化还原%过氧化物酶增生物激活受体(PPARs)%补体%神经调节%免疫麻痹
膿毒癥%氧化還原%過氧化物酶增生物激活受體(PPARs)%補體%神經調節%免疫痳痺
농독증%양화환원%과양화물매증생물격활수체(PPARs)%보체%신경조절%면역마비
Sepsis%Redox%Peroxisome proliferator-activated receptor ( PPARs)%Complement%Neural regulation%Immunosuppression
脓毒症正逐渐成为全世界严峻的医学问题,脓毒症的发病率与病死率逐年上升,然而脓毒症的临床治疗并未取得理想的效果,可能归咎于其复杂的病理生理过程和尚未完全揭示的发病机制。近年来研究发现,氧化还原反应失衡、过氧化物酶增生物激活受体的功能下降、补体的激活与释放、神经调节紊乱、免疫麻痹等参与了脓毒症的发病机制,有助于我们对脓毒症的进一步认识。至此,本文将对这些新机制加以综述。
膿毒癥正逐漸成為全世界嚴峻的醫學問題,膿毒癥的髮病率與病死率逐年上升,然而膿毒癥的臨床治療併未取得理想的效果,可能歸咎于其複雜的病理生理過程和尚未完全揭示的髮病機製。近年來研究髮現,氧化還原反應失衡、過氧化物酶增生物激活受體的功能下降、補體的激活與釋放、神經調節紊亂、免疫痳痺等參與瞭膿毒癥的髮病機製,有助于我們對膿毒癥的進一步認識。至此,本文將對這些新機製加以綜述。
농독증정축점성위전세계엄준적의학문제,농독증적발병솔여병사솔축년상승,연이농독증적림상치료병미취득이상적효과,가능귀구우기복잡적병리생리과정화상미완전게시적발병궤제。근년래연구발현,양화환원반응실형、과양화물매증생물격활수체적공능하강、보체적격활여석방、신경조절문란、면역마비등삼여료농독증적발병궤제,유조우아문대농독증적진일보인식。지차,본문장대저사신궤제가이종술。
Currently, sepsis is becoming a serious medical problem worldwide. The incidence and mortality of sepsis have been increasing year by year , but the clinical treatment of sepsis did not achieve ideal outcome , because the pathophysiology of sepsis is very complicated and the exact pathogenesis has not been fully understood .In recent years , it has been found that redox imbalance , reduction in peroxisome proliferator -activated receptor activity , activation and release of complements , neural regulation disorders , immunosuppression involved in the pathogenesis of sepsis , which may help us to further understand sepsis .Here, this article will be a review of these new mechanisms .