脓毒性脑病

Septic encephalopathy

背景脓毒性脑病是脓毒症的一种常见并发症。它的发生大大增加了脓毒症患者的死亡率。迄今为止，还没有很好的诊疗手段。目的提高对脓毒性脑病，尤其是它的病理生理机制的认识，为进一步寻找其特异性诊疗手段提供理论基础。内容脓毒性脑病还没有明确的诊断标准。病理学和病理生理学机制多样而不明确。脓毒性脑病能否得到逆转，还主要取决于脓毒症本身的治疗情况。从临床症状、实验室检查、病理学、病理生理学、临床诊断和处理这几个方面，对脓毒性脑病作全面的阐述。趋向近年来脓毒性脑病已受到广泛的关注，对它的认识也逐渐地深入，特异有效的诊疗手段必将出现。

Background Septic encephalopathy is a common complication in sepsis patients. It significantly increases the mortality of the septic patients. As yet, there is no specific treatment and definite diagnosis for SAE. Objective To strengthen the understanding of septic encephalopathy, especially the pathophysiology mechanism, and provide the theory basis for finding specific treatment and diagnosis methods. Content No definite diagnostic standard has been set for septic encephalopathy so far. Its pathology and pathophysiology mechanisms are various but uncertain. Whether the septic encephalopathy can be reversed mainly depends on the treatment of septic itself. This review systematically elaborates septic encephalopathy from the aspects of clinical symptoms, lab examination, pathology, patbophysiology, diagnosis and treatment. Trend In recent years, septic encephalopathy has aroused general concerns and gradually deeper understanding. Hence, a specific and effective diagnosis and treatment method will be found in the future.