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[微流控技术在脓毒症诊断与治疗中的应用进展]

[Advances of microfluidic technologies applied in diagnosis and treatment of sepsis].

作者信息

Yang Run, Wang Jiemin, Gao Yuan

机构信息

Department of Critical Care Medicine, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China. Corresponding author: Gao Yuan, Email:

出版信息

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2019 Jun;31(6):789-792. doi: 10.3760/cma.j.issn.2095-4352.2019.06.026.

Abstract

Sepsis is defined as life-threatening organ dysfunction caused by a dysregulated host response to infection. It is characterized by rapid progression, high mortality, and frequent sequelae. Early diagnosis and timely treatment can improve patient survival and long-term prognosis. Biomarkers such as procalcitonin (PCT), C-reactive protein (CRP), and interleukin-6 (IL-6) have been widely used in the early diagnosis of sepsis, but there still exist limitations on their specificity and sensitivity. Microfluidic technology was applied for the detection of some biomarkers and pathogenic microorganisms, not only because it has a higher specificity and sensitivity for the early diagnosis of sepsis, but also has a certain evaluation value for the severity of sepsis and the prognosis of patients. These quick and accurate methods have the feasibility of clinical application. To demonstrate the value of microfluidic technology for early diagnosis of sepsis and to guide the improvement of future research, the application of microfluidic technology in the diagnosis and treatment of sepsis was reviewed in this article.

摘要

脓毒症被定义为由宿主对感染的失调反应引起的危及生命的器官功能障碍。其特点是进展迅速、死亡率高且常有后遗症。早期诊断和及时治疗可改善患者生存率和长期预后。降钙素原(PCT)、C反应蛋白(CRP)和白细胞介素-6(IL-6)等生物标志物已广泛用于脓毒症的早期诊断,但它们在特异性和敏感性方面仍存在局限性。微流控技术被应用于一些生物标志物和病原微生物的检测,不仅因为其对脓毒症的早期诊断具有更高的特异性和敏感性,而且对脓毒症的严重程度和患者预后具有一定的评估价值。这些快速准确的方法具有临床应用的可行性。为了证明微流控技术在脓毒症早期诊断中的价值并指导未来研究的改进,本文综述了微流控技术在脓毒症诊断和治疗中的应用。

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