脓毒症的诊治进展
被引量:2
Advances in Diagnosis and Treatment of Sepsis
摘要
脓毒症(sepsis)是一种发病率和病死率都很高的疾病。在美国,每年约有75万人发生脓毒症,其中约有21.5万人死亡(病死率高达28.7%),其病死人数几乎与因急性心肌梗死死亡的人数一样多。脓毒症发展到严重脓毒症以及脓毒性休克是一个连续的过程,在此过程中疾病的严重性逐步加深,病死率逐步升高。如果延迟识别、诊断和治疗,将会增加脓毒症的病死率,并消耗大量的医疗资源。所以早期识别和治疗严重脓毒症和脓毒性休克是非常重要的。
出处
《国际儿科学杂志》
2007年第3期232-234,共3页
International Journal of Pediatrics
参考文献27
-
1Angus DC, Linde-Zwirble WT, Lidicker J, et al. Epidemiology of severe sepsis in the United States: analysis ff incidence, outcome, and associated costs of care[J]. Cri Care Med,2001,29(7) : 1303-1310.
-
2Rice TW,Bemard GR.Therapeutic intervention and targets for sepsis[J]. Annu Rev Med,2005,56:225-248.
-
3Bone RC, Balk RA, Cerra FB, et al. Definitions for sepsis and organ failure and guiddines for the use of innovative therapies in sepsis[J] .Chest 1992, 101 (6) : 1644-1655.
-
4Levy MM, Fink MP, Marshall JC, et al. 2001 SCCM/ESICM/ACCP/ATS/ SIS international sepsis definitions conference[J]. Crit Care Med,2003,34 (4): 1250-1256.
-
5Goldstein B, Giroir B, Randolph A, et al. International pediatric sepsis consensus conference: definitions for sepsis and organ dysfunction in pediatrics[J]. Pediatr Crit Care Med,2005,6(1 ) :2-8.
-
6Tsiotou AG,Sakorafas GH,Anagnostopoulos G,et al.Septic shock;current pathogenetic concepts from a clinical perspective [ J ]. Med Sci Monit, 2005,11 (3) : RA76-85.
-
7Marshall JC. Sepsis: current status, future prospects[J]. Curr Opin Grit Care, 2004,10(4) :250-264.
-
8Bums JP. Septic shock in the pediatric patient: Pathogenesis and novel treatments[J]. Pediatr Emerg Care,2003,19(2) :112-115.
-
9Spronk PE, Kanoore-Edul VS, Ince C. Microcirculatory and mitochondrial distress syndrome(MMDS) : a new look at sepsis//Pinsky MR, Payen D. Functional Hemodynamic Monitoring. 42th Berlin: Springer-Verlag, 2004: 47-69.
-
10Ince C.The microcirculation is the motor of sepsis[J]. Grit Care,2005,9 (Suppl 4) : S13-19.
同被引文献44
-
1祝益民.脓毒症相关监测指标的意义[J].中国小儿急救医学,2006,13(1):11-13. 被引量:15
-
2Martin GS, Mannino DM, Eaton S, et al. The epidcmiology of sepsis in the United States from 1979 through 2000. N Engl Med,2003,348 (16) :1546-1554.
-
3Wang H, Bloom O, Zhang M, et al. HMG-1 as a late mediator of endotoxin lethality in mice. Science, 1999,285 ( 5425 ) : 248 -251.
-
4Merenmies J, Pihlaskari R, Laitinen J, et al. 30-kDa heparin-binding protein of brain(amphoterin) involved in neurite outgrowth. Amino acid sequence and localization in the filopodia of the advancing plas- ma membrane. J Biol Chem, 1991,266 (25) : 16722-16729.
-
5Huttunen HJ, Fages C, Kuja-Panula J, et al. Receptor for advanced glycation end products-binding COOH-terminal motif of amphoterin inhibits invasive migration and metastasis. Cancer Res, 2002, 62 (16) :4805-4811.
-
6Gardella S, Andrei C,Ferrera D, et al. The nuclear protein HMGB1 is secreted by monocytes via a non-classical, vesicle-mediated secretory pathway. EMBO Rep,2002,3 (10) :995-1001.
-
7Kokkola R,Sundberg E, Ulfgren AK,et al. High mobility group box chromosomal protein 1 :a novel proinflammatory mediator in synovi- tis. Arthritis Rheum,2002,46(10) :2598-2603.
-
8Bell CW, Jiang W, Reich 3rd CF, et al. The extracellular release of HMGB1 during apoptotie cell death. Am J Physiol Cell Physiol, 2006.291 (6) : 1318-1325.
-
9Calogero S,Grassi F, Aguzzi A, et al. The lack of chromosomal protein Hmgl does not disrupt cell growth but causes lethal hypogly- caemia in newborn mice. Nat Genet, 1999,22 (3) :276-280.
-
10Tian J, Avalos AM, Mao SY, et al. Toll-like receptor 9-dependent activation by DNA containing immune complexes is mediated by HMGB1 and RAGE. Nat lmmunol,2007,8 (5) :487-496.
二级引证文献4
-
1吴沪军,温顺航,张渊博,钟佩佩,李昌崇,郭书真,刘榴,林罗娜.住院患儿血流感染586例病原菌分布及耐药性分析[J].中国实用儿科杂志,2015,30(6):431-435. 被引量:8
-
2许巍.不同年龄儿童脓毒症的免疫和病原[J].中国中西医结合儿科学,2015,7(4):301-305. 被引量:7
-
3蔺有军.脓毒性休克患儿早期不同时机应用抗菌药物效果研究[J].世界最新医学信息文摘,2015,0(58):138-138.
-
4李阳.儿童脓毒症病原学及发病机制研究进展[J].世界最新医学信息文摘,2019,0(63):80-80.
-
1Adrian Plunkett,Jeremy Tong,林瑶,杜忠东.儿童脓毒症[J].英国医学杂志中文版,2017,20(4):205-219. 被引量:2
-
2吴瑾.TREM-1是介导脓毒性休克的关键介质[J].国外医学(微生物学分册),2002,25(4):40-40.
-
3赵红月,张丽蕊,陈乃耀.间充质干细胞移植后免疫调节作用的研究进展[J].山东医药,2017,57(2):101-104. 被引量:1
-
4胎儿的感觉器官是如何发育的[J].婴幼儿营养与保健,2012(6):38-38.
-
5胡承浩,方峻,夏凌辉.造血干细胞移植后侵袭性真菌感染的诊治进展[J].临床内科杂志,2011,28(6):372-375. 被引量:1
-
6艾坤.人羊膜间充质干细胞治疗急性心肌梗死的研究进展[J].现代养生,2015,0(8):36-37.
-
7任力群,黄敏秀,林立鹏,朱春丽.小儿下呼吸道常见革兰阴性杆菌菌群分布及耐药性分析[J].中华医院感染学杂志,2009,19(1):7-7. 被引量:6
-
8刁宗礼,马素霞,王超.老年人肺孢子菌肺炎特征及其诊治[J].中国医刊,2008,43(6):16-19. 被引量:3
-
9王露,全媛.冠心病患者血清hs-CRP、IL-18和IL-1β检测的临床意义[J].放射免疫学杂志,2009,22(5):543-544. 被引量:7
-
10雷艳梅,周潇,马建国,罗浩元.降钙素原联合肾上腺髓质素前体中段肽在脓毒症诊断中的应用[J].广东医学,2017,38(9):1383-1385. 被引量:16