摘要
脓毒症是临床较为常见的一种危重症,它除可引起剧烈的全身炎症反应外,还常导致肺、肝、肾、肠道、脑等多个器官的功能失常。尤其是脓毒症所致的肺损伤,其发生早,病情较重,表现为急性肺损伤(acute lung injury,ALI)或急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS),常是患者死亡的直接原因。尽管目前监护技术及机械通气设备的进展为脓毒症所致的ALI/ARDS救治提供很大帮助,但其病死率仍高达38%~50%[1]。生理状态下,
Lung injury caused by sepsis is the direct cause of death due to its early complication and severe prognosis.Recent researches proved that the increased expression of receptor for advanced glycation end products is a mark of lung epithelium damage in the disease of ALI/ARDS.The receptor for advanced glycation end products can activate inflammatory pathways and release inflammatory cytokines when combined with ligands.Monitoring soluble receptor for advanced glycation end products and its ligands can be the early diagnostic marker of ALI/ARDS.
出处
《临床急诊杂志》
CAS
2017年第11期867-869,共3页
Journal of Clinical Emergency
关键词
脓毒症
急性肺损伤
晚期糖基化终末产物受体
sepsisacute lung injury
the receptor for advanced glycation end products