急性胃肠损伤检测进展

Advances in Detection of Acute Gastrointestinal Injury

脓毒症、创伤、休克、胰腺炎、急性呼吸窘迫综合征等常见危重疾病均可引起胃肠道功能障碍或衰竭。基于对危重症患者胃肠道功能的逐渐重视,急性胃肠损伤(acute gastrointestinal injury, AGI)的概念被提出。然而目前由于客观证据的缺乏,导致AGI的诊疗策略多是根据临床医生的临床经验制定的。在此,作者将急性胃肠道损伤的检测手段做一归纳、分析。

Gastrointestinal dysfunction or failure can be caused by common critical diseases such as sepsis, trauma, shock, pancreatitis and acute respiratory distress syndrome. The concept of acute gastro-intestinal injury (AGI) was put forward based on the increasing emphasis on gastrointestinal func-tion of critically ill patients. However, up till now the diagnosis and treatment strategies of AGI are mostly based on the clinical experience of clinicians, due to the lack of objective evidence. In this paper, the author summarizes and analyzes the detection methods of acute gastrointestinal injury.