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[脓毒症相关性脑病]

[Sepsis-associated encephalopathy].

作者信息

Szatmári Szilárd, Végh Tamás, Antek Csaba, Takács István, Síró Péter, Fülesdi Béla

机构信息

Debreceni Egyetem, Orvos- és Egészségtudományi Centrum Aneszteziológiai és Intenzív Terápiás Tanszék, Debrecen, Móricz Zs. krt. 22. 4032.

出版信息

Orv Hetil. 2010 Aug 15;151(33):1340-6. doi: 10.1556/OH.2010.28932.

Abstract

Sepsis-associated encephalopathy is a common but neglected clinical symptom of systemic inflammatory reaction in the early phase. The clinical spectrum of diffuse cerebral dysfunction induced by systemic sepsis--sepsis-associated encephalopathy according to the new terms--varies from transient, reversible encephalopathy, to severe irreversible brain damage. The aim of the present publication is to summarize the pathophysiology, frequent symptoms and possible treatments of the disease based on international and Hungarian articles on this topic. We want to emphasize the importance of monitoring the patient's mental status due to the fact that consciousness' disturbance of different severity is an early warning sign of sepsis, so it has high clinical significance.

摘要

脓毒症相关性脑病是全身炎症反应早期常见但被忽视的临床症状。根据新术语,由全身性脓毒症引发的弥漫性脑功能障碍——脓毒症相关性脑病,其临床谱范围从短暂、可逆性脑病到严重的不可逆脑损伤。本出版物的目的是基于关于该主题的国际和匈牙利文章,总结该疾病的病理生理学、常见症状及可能的治疗方法。鉴于不同严重程度的意识障碍是脓毒症的早期预警信号,我们想强调监测患者精神状态的重要性,因此其具有很高的临床意义。

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