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[肠道细菌微生物群——脓毒症的关键因素]

[Bacterial gut microbiota-key player in sepsis].

作者信息

Lindner Matthias, Radke David I, Elke Gunnar

机构信息

Klinik für Anästhesiologie und Operative Intensivmedizin, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Arnold-Heller-Straße 3 Haus 12, 24105, Kiel, Deutschland.

出版信息

Med Klin Intensivmed Notfmed. 2023 Mar;118(2):107-113. doi: 10.1007/s00063-023-00993-1. Epub 2023 Feb 17.

Abstract

The gut microbiota is comprised of over 1200 different bacteria and forms a symbiotic community with the human organism, the holobiont. It plays an important role in the maintenance of homeostasis, e.g., of the immune system and essential metabolic processes. Disturbances in the balance of this reciprocal relationship are called dysbiosis and, in the field of sepsis, are associated with incidence of disease, extent of the systemic inflammatory response, severity of organ dysfunction, and mortality. In addition to providing guiding principles in the fascinating relationship between "human and microbe," this article summarizes recent findings regarding the role of the bacterial gut microbiota in sepsis, which is one a very relevant in intensive care medicine.

摘要

肠道微生物群由1200多种不同的细菌组成,与人类机体(即共生生物)形成一个共生群落。它在维持内环境稳定方面发挥着重要作用,例如在免疫系统和基本代谢过程中。这种相互关系平衡的紊乱被称为生态失调,在脓毒症领域,它与疾病的发生率、全身炎症反应的程度、器官功能障碍的严重程度以及死亡率相关。除了为“人类与微生物”之间引人入胜的关系提供指导原则外,本文还总结了关于肠道细菌微生物群在脓毒症中作用的最新研究结果,脓毒症是重症医学中一个非常重要的问题。

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