Tang Liangsheng, Tang Zhaohui
Department of Traumatic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China. Corresponding author: Tang Zhaohui, Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2021 Apr;33(4):506-508. doi: 10.3760/cma.j.cn121430-20201109-00707.
The effects of sepsis on the liver include hypoxic hepatitis caused by ischemia and shock, liver cell damage caused by excessive inflammation, and cholestasis caused by changes in bile metabolism. Among them, cholestasis is a common complication in patients with sepsis. Cholestasis and jaundice in patients with sepsis are associated with an increased risk of infection, leading to an increased mortality rate. So far, the exact mechanism of sepsis with cholestasis is still unclear, so this article briefly reviews the mechanism of cholestasis during the early stage of sepsis.
脓毒症对肝脏的影响包括缺血和休克引起的缺氧性肝炎、过度炎症反应引起的肝细胞损伤以及胆汁代谢变化引起的胆汁淤积。其中,胆汁淤积是脓毒症患者常见的并发症。脓毒症患者的胆汁淤积和黄疸与感染风险增加相关,导致死亡率升高。迄今为止,脓毒症伴胆汁淤积的确切机制仍不清楚,因此本文简要综述脓毒症早期胆汁淤积的机制。