危重症患者的内脏缺血与多器官功能衰竭
Splanchnic ischaemia and multiple organ failure in the critically ill.
作者信息
Fiddian-Green R G
机构信息
Department of Surgery, University of Massachusetts Medical Center, Worcester 01605.
出版信息
Ann R Coll Surg Engl. 1988 May;70(3):128-34.
Abstract
The development of a safe and simple tonometric method of monitoring the adequacy of gastrointestinal mucosal perfusion has provided a new perspective of splanchnic ischaemia in the critically ill. It would appear that splanchnic hypoxia, identified by the presence of intramucosal acidosis in the gut, may be one of the most consistent and earliest indications of impaired tissue perfusion in the critically ill and be causally related to the development of sepsis and multiple organ failure.
摘要
一种安全且简单的眼压测量方法的发展，用于监测胃肠道黏膜灌注是否充足，这为危重症患者的内脏缺血提供了新的视角。似乎通过肠道内黏膜酸中毒来识别的内脏缺氧，可能是危重症患者组织灌注受损最一致且最早的迹象之一，并且与脓毒症和多器官功能衰竭的发生存在因果关系。
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