Chiscano-Camón Luis, Plata-Menchaca Erika, Ruiz-Rodríguez Juan Carlos, Ferrer Ricard
Servicio de Medicina Intensiva, Hospital Universitario Vall d'Hebron, Barcelona, España; Grupo de Investigación Sepsis Organ Dysfunction and Resuscitation (SODIR), Vall d'Hebron Institut de Recerca (VHIR), Hospital Universitari Vall d'Hebron, Barcelona, España; Departament de Medicina. Universitat Autònoma de Barcelona. Barcelona. España.
Servicio de Medicina Intensiva, Hospital Universitario Vall d'Hebron, Barcelona, España; Grupo de Investigación Sepsis Organ Dysfunction and Resuscitation (SODIR), Vall d'Hebron Institut de Recerca (VHIR), Hospital Universitari Vall d'Hebron, Barcelona, España.
Med Intensiva (Engl Ed). 2022 Apr;46 Suppl 1:1-13. doi: 10.1016/j.medine.2022.03.010.
Sepsis and septic shock result from an inadequate host response to an infection, which causes organ dysfunction. The progression of this condition is manifested by the occurrence of successive clinical stages, resulting from the systemic inflammatory response secondary to the activation of different inflammatory mediators, leading to organ dysfunction. There is a high burden of evidence on the role of endotoxin in the pathogenesis of sepsis and its crucial role in triggering the inflammatory response in sepsis caused by gram-negative bacteria. The coagulation cascade activation in sepsis patients is part of the host's adaptive immune response to infection. The endothelium is the main target in sepsis, which is metabolically active and can.
脓毒症和脓毒性休克是由于宿主对感染的反应不足所致,可导致器官功能障碍。这种病症的进展表现为连续临床阶段的出现,这是由不同炎症介质激活继发的全身炎症反应导致器官功能障碍引起的。关于内毒素在脓毒症发病机制中的作用以及其在革兰氏阴性菌引起的脓毒症中引发炎症反应的关键作用,有大量证据。脓毒症患者体内凝血级联反应的激活是宿主对感染的适应性免疫反应的一部分。内皮是脓毒症的主要靶点,它具有代谢活性且能够……