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。
相似文献
1
Splanchnic ischaemia and multiple organ failure in the critically ill.危重症患者的内脏缺血与多器官功能衰竭
Ann R Coll Surg Engl. 1988 May;70(3):128-34.
2
Associations between intramucosal acidosis in the gut and organ failure.肠道黏膜内酸中毒与器官衰竭之间的关联。
Crit Care Med. 1993 Feb;21(2 Suppl):S103-7. doi: 10.1097/00003246-199302001-00017.
3
Splanchnic ischemia and gut mucosal injury in sepsis and the multiple organ dysfunction syndrome.脓毒症及多器官功能障碍综合征中的内脏缺血与肠黏膜损伤
Am J Gastroenterol. 1996 Sep;91(9):1697-710.
4
[Aspects in monitoring and treatment of gastrointestinal underperfusion in sepsis. Diagnosis and therapy of gastrointestinal underperfusion in sepsis].[脓毒症中胃肠道灌注不足的监测与治疗要点。脓毒症中胃肠道灌注不足的诊断与治疗]
Anasthesiol Intensivmed Notfallmed Schmerzther. 1998 Jun;33 Suppl 2:S60-9. doi: 10.1055/s-2007-994879.
5
Splanchnic ischaemia and its role in multiple organ failure.内脏缺血及其在多器官功能衰竭中的作用。
Acta Anaesthesiol Scand. 1994 Oct;38(7):626-39. doi: 10.1111/j.1399-6576.1994.tb03969.x.
6
[Translocation and multiple organ failure].[易位与多器官功能衰竭]
Ugeskr Laeger. 1993 Sep 13;155(37):2861-6.
7
Changes in p(i)CO(2) reflect splanchnic mucosal ischaemia more reliably than changes in pH(i) during haemorrhagic shock.在失血性休克期间，与pH(i)的变化相比，p(i)CO(2)的变化能更可靠地反映内脏黏膜缺血。
Langenbecks Arch Surg. 2001 Aug;386(5):333-8. doi: 10.1007/s004230100230.
8
[Hemodynamic monitoring of splanchnic circulation--does the benefit outweight risk of of regional circulation monitoring?].[内脏循环的血流动力学监测——区域循环监测的益处是否超过风险？]
Anaesthesiol Reanim. 2001;26(4):96-101.
9
Occlusive and non-occlusive gastrointestinal ischaemia: a clinical review with special emphasis on the diagnostic value of tonometry.闭塞性和非闭塞性胃肠道缺血：一项特别强调张力测定诊断价值的临床综述
Scand J Gastroenterol Suppl. 1998;225:3-12.
10
[Effect of catecholamines on splanchnic perfusion in sepsis].[儿茶酚胺对脓毒症内脏灌注的影响]
Rev Med Chil. 1999 Jun;127(6):719-27.
引用本文的文献
1
Role of gut microbiota and bacterial translocation in acute intestinal injury and mortality in patients admitted in ICU for septic shock.肠道微生物群和细菌易位在 ICU 收治的感染性休克患者急性肠道损伤和死亡率中的作用。
Front Cell Infect Microbiol. 2023 Dec 18;13:1330900. doi: 10.3389/fcimb.2023.1330900. eCollection 2023.
2
Nutrient stimulation of mesenteric blood flow - implications for older critically ill patients.营养物质对肠系膜血流的刺激作用——对老年危重症患者的影响
World J Crit Care Med. 2017 Feb 4;6(1):28-36. doi: 10.5492/wjccm.v6.i1.28.
3
Gastric Tonometry as a Prognostic Index of Mortality in Sepsis.胃张力测定作为脓毒症死亡率的预后指标
Med J Armed Forces India. 2007 Oct;63(4):337-40. doi: 10.1016/S0377-1237(07)80010-4. Epub 2011 Jul 21.
4
Acute intestinal failure in critically ill patients: is plasma citrulline the right marker?危重症患者的急性肠衰竭：瓜氨酸是否是合适的标志物？
Intensive Care Med. 2011 Jun;37(6):911-7. doi: 10.1007/s00134-011-2172-x. Epub 2011 Mar 12.
5
Plasma citrulline kinetics and prognostic value in critically ill patients.危重症患者血浆瓜氨酸动力学及其预后价值。
Intensive Care Med. 2010 Apr;36(4):702-6. doi: 10.1007/s00134-010-1751-6.
6
Bactericidal/permeability-increasing protein attenuates systemic inflammation and acute lung injury in porcine lower limb ischemia-reperfusion injury.杀菌/通透性增加蛋白减轻猪下肢缺血再灌注损伤中的全身炎症反应和急性肺损伤。
Ann Surg. 2001 Aug;234(2):233-44. doi: 10.1097/00000658-200108000-00014.
7
Gastric intramucosal pH-guided therapy in patients after elective repair of infrarenal abdominal aneurysms: is it beneficial?肾下腹主动脉瘤择期修复术后患者的胃黏膜内pH值引导治疗：是否有益？
Intensive Care Med. 1998 Aug;24(8):769-76. doi: 10.1007/s001340050664.
8
Effect of ranitidine on basal and bicarbonate enhanced intragastric PCO2: a tonometric study.雷尼替丁对基础状态及碳酸氢盐增强的胃内PCO2的影响：一项张力测定研究。
Gut. 1994 Jun;35(6):737-41. doi: 10.1136/gut.35.6.737.
9
The role of gut mucosal hypoperfusion in the pathogenesis of post-operative organ dysfunction.肠道黏膜低灌注在术后器官功能障碍发病机制中的作用。
Intensive Care Med. 1994;20(3):203-9. doi: 10.1007/BF01704701.
10
Bowel ischaemia and organ impairment in elective abdominal aortic aneurysm repair.择期腹主动脉瘤修复术中的肠缺血与器官损害
Br J Surg. 1994 Jul;81(7):965-8. doi: 10.1002/bjs.1800810712.
本文引用的文献
1
THE NATURE OF IRREVERSIBLE SHOCK: EXPERIMENTAL AND CLINICAL OBSERVATIONS.不可逆性休克的本质：实验与临床观察
Ann Surg. 1964 Oct;160(4):682-710. doi: 10.1097/00000658-196410000-00012.
2
The intestinal factor in irreversible hemorrhagic shock.不可逆性失血性休克中的肠道因素。
Surgery. 1957 Dec;42(6):1043-54.
3
Mesenteric angiopathy, intestinal gangrene, and midgut carcinoids.
Surgery. 1981 Oct;90(4):720-8.
4
Cardiac dynamics following shock: role of circulating cardiodepressant substances.休克后的心脏动力学：循环性心脏抑制物质的作用
Circ Shock. 1982;9(3):317-34.
5
Acute necrosis of the intestinal mucosa.肠黏膜急性坏死
Gastroenterology. 1982 Jun;82(6):1457-67.
6
Independence of renin production and hypertension in abdominal aortic aneurysmectomy.腹主动脉瘤切除术中肾素分泌与高血压的独立性
Am J Surg. 1981 Apr;141(4):472-7. doi: 10.1016/0002-9610(81)90142-2.
7
Adequacy of tissue oxygenation in intact dog intestine.完整犬肠道组织氧合的充足性。
J Appl Physiol Respir Environ Exerc Physiol. 1984 Apr;56(4):1065-9. doi: 10.1152/jappl.1984.56.4.1065.
8
The reasons for gastrointestinal consultation after cardiac surgery.心脏手术后进行胃肠会诊的原因。
Am Surg. 1984 Jun;50(6):301-4.
9
Predictive value of intramural pH and other risk factors for massive bleeding from stress ulceration.壁内pH值及其他危险因素对应激性溃疡大出血的预测价值。
Gastroenterology. 1983 Sep;85(3):613-20.
10
Modification by preoperative beta-blockade of the renin response to infrarenal aortic cross-clamping.
Can Anaesth Soc J. 1983 Sep;30(5):480-6. doi: 10.1007/BF03007081.
Zotero 插件