脓毒血症急性肾损伤的发病机制研究进展

被引:9
作者
李清初
机构
[1] 桂林医学院附属医院肾内科
关键词
脓毒血症; 急性肾损伤; 肾血流量; 凋亡; 免疫;
D O I
暂无
中图分类号
R692 [肾疾病];
学科分类号
100221 [泌尿外科学];
摘要
<正>脓毒血症(sepsis)是指由感染引起的全身炎症反应综合征(systemic inflammatory response syn-drome,SIRS),临床上有细菌存在或有高度可疑感染灶,它是一种全身化脓性疾病,累及全身多个器官,脓毒血症病情凶险,病死率高。近年来,尽管抗感染治疗和器官功能支持疗法取得了长足进步,但脓毒血症的病死率仍高达30%~70%[1],这些患者大部分出现了急性肾损伤(acute kidney injury,AKI)。本文就脓毒血症性急性肾损伤(septic acute kidney inju-ry,SAKI)发病机制的研究进展综述如下。
引用
收藏
页码:879 / 882
页数:4
相关论文
共 8 条
[1]
重症监护病房患者急性肾损伤的临床调查附视频 [J].
周淑清 ;
沈涛 .
临床荟萃, 2012, (11) :943-945+949
[2]
Distinct pathophysiologic mechanisms of septic acute kidney injury: Role of immune suppression and renal tubular cell apoptosis in murine model of septic acute kidney injury [J].
Lee, So-Young ;
Lee, Yong-Su ;
Choi, Hye-Min ;
Ko, Yoon-Sook ;
Lee, Hee-Young ;
Jo, Sang-Kyung ;
Cho, Won-Yong ;
Kim, Hyoung-Kyu .
CRITICAL CARE MEDICINE, 2012, 40 (11) :2997-3006
[3]
Acute kidney injury in the intensive care unit: An update and primer for the intensivist [J].
Dennen, Paula ;
Douglas, Ivor S. ;
Anderson, Robert .
CRITICAL CARE MEDICINE, 2010, 38 (01) :261-275
[4]
Animal models of sepsis and sepsis-induced kidney injury [J].
Doi, Kent ;
Leelahavanichkul, Asada ;
Yuen, Peter S. T. ;
Star, Robert A. .
JOURNAL OF CLINICAL INVESTIGATION, 2009, 119 (10) :2868-2878
[5]
Histopathology of septic shock induced acute kidney injury: apoptosis and leukocytic infiltration [J].
Lerolle, Nicolas ;
Nochy, Dominique ;
Guerot, Emmanuel ;
Bruneval, Patrick ;
Fagon, Jean-Yves ;
Diehl, Jean-Luc ;
Hill, Gary .
INTENSIVE CARE MEDICINE, 2010, 36 (03) :471-478
[6]
Acute kidney injury in septic shock: clinical outcomes and impact of duration of hypotension prior to initiation of antimicrobial therapy [J].
Bagshaw, Sean M. ;
Lapinsky, Stephen ;
Dial, Sandra ;
Arabi, Yaseen ;
Dodek, Peter ;
Wood, Gordon ;
Ellis, Paul ;
Guzman, Jorge ;
Marshall, John ;
Parrillo, Joseph E. ;
Skrobik, Yoanna ;
Kumar, Anand .
INTENSIVE CARE MEDICINE, 2009, 35 (05) :871-881
[7]
Pathophysiology of septic acute kidney injury: What do we really know?.[J].Li Wan;Sean M. Bagshaw;Christoph Langenberg;Takao Saotome;Clive May;Rinaldo Bellomo.Critical Care Medicine.2008, 4 Su
[8]
Intrarenal blood flow distribution in hyperdynamic septic shock: Effect of norepinephrine [J].
Di Giantomasso, D ;
Morimatsu, H ;
May, CN ;
Bellomo, R .
CRITICAL CARE MEDICINE, 2003, 31 (10) :2509-2513