摘要
外科感染后全身性炎性介质反应所致的弥漫性大脑功能障碍和意识改变,称为脓毒性脑病(Septic encephalopathy,SE)。大脑通常是脓毒症最早受累的器官,在其他器官出现症状之前,严重脓毒症即能引起大脑短暂的可逆或不可逆性脑损伤。然而,
出处
《国际外科学杂志》
2011年第11期725-728,共4页
International Journal of Surgery
基金
国家自然科学基金资助项目(N030973120,No.30872683)
国家重点基础研究发展计划项目(No.2005CB522602)
参考文献16
-
1Spapen H, Nguyen DN, Troubleyn J, et al. Drotrecogin alfa (acti- vated) may attenuate severe sepsis-associated encephalopathy in clinical septic shock[J] Crit Care, 2010, 14(2) : R54.
-
2Ebersoldt M, Sharshar T, Annane D. Sepsis-associated delirium [J]. Intensive Care Med, 2007, 33(6): 941-950.
-
3Lazosky A, Young GB, Zirul S, et al. Quality of life after septic illness[J] J Crit Care, 2010, 25(3) : 406-412.
-
4Hufschmidt A, Shabarin V, Rauer S, et al. Neurological symp- toms accompanying urinary tract infections [ J ]. Eur Neurol, 2010, 63(3) : 180-183.
-
5Nguyen DN, Spapen H, Su F, et al. Elevated serum levels of S- 100beta protein and neuron-specific enolase are associated with brain injury in patients with severe sepsis and septic shock [ J ]. Crit Care Med, 2006, 34(7) : 1967-1974.
-
6Wilson JX, Young GB. Progress in clinical neurosciences: sepsis- associated encephalopathy: evolving concepts [ J ]. Can J Nem'ol Sci, 2003, 30(2) : 98-105.
-
7Bartynski WS, Zeigler Z, Spearman MP, et al. Etiology of cortical and white matter lesions in cyclosporin-A and FK-506 neurotoxici- ty~J]. AJNRAmJNeuroradiol, 2001, 22(10): 1901-1914.
-
8Barichello T, Fortunato JJ, Vitali AM, et al. Oxidative variables in the brain after sepsis induced by cecal ligation and perforation [Jl. Crit Care Med, 2006, 34(3) : 886-889.
-
9Taccone FS, Su F, Pierrakos C, et al. Cerebral microcireulation is impaired during sepsis: an experimental study [ J ]. Crit Care, 2010, 14(4): 140.
-
10Esmon CT. The protein C pathway[J]. Chest, 2003, 124(3 Sup- pl) : S26-S32.
同被引文献25
-
1王艳红,冯志杰,郝晓.急性胰腺炎与氧化应激[J].世界华人消化杂志,2007,15(11):1266-1272. 被引量:24
-
2Vincent JL, Martinez EO, Silva E. Evolving concepts in sepsis def- initions[J]. Crit Care Clin, 2009, 25(4) : 665-675.
-
3Karunakaran R, Raja NS, Ouek KF, et al. Evaluation of the rou- tine use of the anaerobic bottle when using the BACTEC blood cul- ture system [ J ]. J Microbial Immunol Infect, 2007, 40 ( 5 ) : 445 -449.
-
4Shiramizo SC, Marra AR, Durao MS, et al. Decreasing mortality in severe sepsis and septic shock patients by implementing a sepsis bundle in a hospital setting [ J]. PLoS One, 2011, 6 ( 11 ) : e26790.
-
5Nguyen HB, Rivers EP, Knoblich BP, et al. Early lactate clear- ance is associated with improved outcome in severe sepsis and septic shock[J]. Crit Care Med, 2004, 32(8) : 1637-1642.
-
6Sasazuki S, Hayashi T, Nakachi K, et al. Protective effect of vita- min C on oxidative stress: a randomized controlled trial [ J ]. Int J Vitam Nutr Res, 2008, 78(3) : 121-128.
-
7Galley HF, Davies M J, Webster NR. Ascorbyl radical formation in patients with sepsis: effect of ascorbate loading[J]. Free Radic Bi- ol Med, 1996, 20(1) : 139-143.
-
8Tyml K. Critical role for oxidative stress, platelets, and coagulation in capillary blood flow impairment in sepsis [ J ]. Microcirculation, 2011, 18(2): 152-162.
-
9Secor D, Li F, Ellis CG, et al. Impaired microvascular perfusion in sepsis requires activated coagulation and P-selectin-mediated platelet adhesion in capillaries[ J]. Intensive Care Med, 2010, 36 (11) : 1928-1934.
-
10Herkert O, Djordjevic T, BelAiba RS, et al. Insights into the red- ox control of blood coagulation: role of vascular NADPH oxidase- derived reactive oxygen species in the thrombogenic cycle [ J ]. An- tioxid Redox Signal, 2004, 6(4) : 765-776.
-
1张庆红,姚咏明.加强对脓毒性脑病的研究[J].中华急诊医学杂志,2015,24(2):117-120. 被引量:11
-
2郑述铭,林新峰.醒脑静注射液治疗脓毒性脑病的临床研究[J].广州中医药大学学报,2015,32(5):803-807. 被引量:5
-
3张旭,余桂芳,朱科明.脓毒性脑病[J].国际麻醉学与复苏杂志,2012,33(7):480-483. 被引量:2
-
4钱家成,张俊.术后早期肠梗阻的临床特点与诊治对策[J].现代实用医学,2007,19(1):45-46. 被引量:1
-
5黄江涛,胡先典.腹腔镜胆囊切除术中副肝管损伤及其对策[J].中华普通外科杂志,2005,20(2):121-122. 被引量:10
-
6张朝贵,魏传珍.多发性创伤142例临床分析[J].中国医药导报,2005,2(6):45-46. 被引量:5
-
7王荫槐,何三光,李继光.现代胰腺创伤的分级诊治对策[J].中国医科大学学报,1997,26(3):293-294. 被引量:1
-
8董昕,戴国强,王佩军.闭合性十二指肠损伤的诊治对策[J].腹部外科,2003,16(4):256-256.
-
9高根五.外科脓毒性感染的研究现况及其防治[J].四川医学,1993,14(3):170-172.
-
10姚咏明,黄立锋.烧伤后脓毒性脑病发生机制与诊治对策[J].中华损伤与修复杂志(电子版),2011,6(2):5-8. 被引量:11