期刊文献+

肠源性脓毒症诊治新进展 被引量:8

Progress in Diagnosis and Treatment of Gut Origin Sepsis
下载PDF
导出
摘要 肠源性脓毒症是内外科危重患者常见的并发症,已成为危重患者的重要死亡原因之一。肠源性脓毒症的诊断主要根据患者的病史和一般脓毒症症状。治疗应重视早期复苏和基础疾病的处理。选用合理的抗菌药物、营养支持、选择性肠道去污染疗法、调节胃肠菌群和中医药治疗是目前应用较多的疗法。 Gut origin sepsis is a common complication of critical illness and become one of the main causes of mortality in critically ill patients.This paper reviews the progress in the mechanisms,diagnosis and treatment of gut origin sepsis.The clinical diagnosis is mainly based on the history and clinical symptom.Common treatments include anti-infection,rational nutritional support,selective digestive decontamination,microbial ecological agent and traditional Chinese medicines.Early sufficient resuscitation and treatment of the primary disease should be highlighted.
出处 《医学综述》 2010年第10期1508-1511,共4页 Medical Recapitulate
基金 上海市重点学科建设资助项目(T0304)
关键词 肠源性脓毒症 机制 诊断 治疗 Gut origin sepsis Mechanism Diagnosis Treatment
  • 相关文献

参考文献2

二级参考文献14

  • 1吴仲文,徐凯进,李兰娟,左键,盛吉芳,郑树森,梁廷波,沈岩,王伟林,张珉.78例肝硬化患者肠道细菌易位及其相关性研究[J].中华外科杂志,2006,44(21):1456-1459. 被引量:16
  • 2Starzl TE, Groth CG, Brettschneider L, et al. Orthotopic homotransplantation of the human liver. Ann Surg, 1968, 168: 392-415. 被引量:1
  • 3Echaniz A, Pita S, Otero A, et al. Incidence, risk factors and influence on survival of infectious complications in liver transplantation. Enfenn Infecc Microbial Clin ,2003 ,21:224-231. 被引量:1
  • 4Nicholson JK, Holmes E, Wilson ID. Gut microorganisms mammalian metabolism and personalized health care. Nat Rev Microbial ,2005,3:431-438. 被引量:1
  • 5Xing HC, Li LJ, Xu K J, et al. Protective role of supplement with foreign Bifidobaeterium and Lactobaeillus in experimental hepatic ischemia-reperfusion injury. J Gastroenterol Hepatol, 2006, 21: 647 -656. 被引量:1
  • 6Kamada N, Calne RY. Orthotopic liver transplantation in the rat. Technique using cuff for portal vein anastomosis and biliary drainage. Transplantation, 1979,28:47-50. 被引量:1
  • 7Murawaki Y, Kobayashi M, Koda M, et al. Effects of lactulose on intestinal bacterial flora and fecal organic acids in patients with liver cirrhosis. Hepatol Res,2000,17:56-64. 被引量:1
  • 8Chiva M, Soriano G, Rochat I, et al. Effect of lactobacillus johnsonii Lal and antioxidants on intestinal flora and bacterial translocation in rats with experimental cirrhosis. J Hepatol, 2002, 37:456-462. 被引量:1
  • 9Dai CL, Kume M, Yamamoto Y, et al Heat shock protein 72 Production in liver tissue after experimental total hepatic inflow occlusion. Br J Surg, 1998,85 : 1061-1065. 被引量:1
  • 10Hasse JM. Nutrition assessment and support of organ transplant recipients. J Parenter Enteral Nutr,2001,25:120-131. 被引量:1

共引文献7

同被引文献77

  • 1黄继汉,黄晓晖,陈志扬,郑青山,孙瑞元.药理试验中动物间和动物与人体间的等效剂量换算[J].中国临床药理学与治疗学,2004,9(9):1069-1072. 被引量:1384
  • 2董军,张淑文,王宝恩.肠功能障碍与多器官功能障碍综合征[J].中国危重病急救医学,2005,17(12):764-767. 被引量:95
  • 3王权胜,郑泽棠,潘恩山,王百林,唐乾利,赵先明.中药在急腹症脓毒症围手术期的应用对照观察[J].辽宁中医杂志,2008,35(1):61-62. 被引量:1
  • 4Wanner GA,Keel M,Steckholzer U,et al.Relationship between ptdeitonin plmma levels and severity of injury,sepsis,organ failu,and mortality in injured patienta[J].Crit Care Med,2000,28(4):950-957. 被引量:1
  • 5Jones WG,Minei JP,Barber AE,et al.Bacterial translocation andintestinal atrophy after thermal injury and bum wound sepsis[J].Ann Surg,1990,211(4):399-405. 被引量:1
  • 6Liboni KC,Li N,Scumpia PO,et al.Glutamine modulates LPSinduced IL-8 porduction thorugh IκB/NF-κB in human fetal and adult intestinal epithelium[J].J Nutr,2005,135(2):245-251. 被引量:1
  • 7Meakins JL,Marshall JC.Multiple organ failuresyndrome[J].Arch Surg,1986,121(2):196-208. 被引量:1
  • 8Gennari R,Alexander JW.Effects of hyperoxia on bacteria translocation and mortality during gut derived sepsis[J].Arch Surg,1996,36(3):252-253,. 被引量:1
  • 9Ulloa L,Brunner M,Ramos L,et al.Scientific and clinical challenges in sepsis[J].Curr Pharm Des,2009,15(16):1918-1935. 被引量:1
  • 10Kim MH,Lim G,Kang SY,et al.Utility of procalcitonin as anearly diagnostic marker of bacteremia in patients with acute fever[J].Yonsei Med J,2011,52(2):276-281. 被引量:1

引证文献8

二级引证文献31

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部