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微循环:诊断、成像及临床应用的当前视角

Microcirculation: Current Perspective in Diagnostics, Imaging, and Clinical Applications.

作者信息

Aksu Ugur, Yavuz-Aksu Berna, Goswami Nandu

机构信息

Biology Department, Science Faculty, Istanbul University, Istanbul 34459, Turkey.

Duzen Laboratory Group, Biochemistry Section, Istanbul 34394, Turkey.

出版信息

J Clin Med. 2024 Nov 10;13(22):6762. doi: 10.3390/jcm13226762.

Abstract

This review discusses the pivotal role of microcirculation in maintaining tissue oxygenation and waste removal and highlights its significance in various pathological conditions. It delves into the cellular mechanisms underlying hemodynamic coherence, elucidating the roles of the endothelium, glycocalyx, and erythrocytes in sustaining microcirculatory integrity. Furthermore, the review gives comprehensive information about microcirculatory changes observed in cardiac surgery, sepsis, shock, and COVID-19 disease. Through comprehensive exploration, the review underscores the intricate relationship between microcirculation, disease states, and clinical outcomes, emphasizing the importance of understanding and monitoring microvascular dynamics in critical care settings.

摘要

本综述讨论了微循环在维持组织氧合和废物清除中的关键作用,并强调了其在各种病理状况下的重要性。它深入探讨了血流动力学一致性的细胞机制,阐明了内皮细胞、糖萼和红细胞在维持微循环完整性中的作用。此外,该综述还提供了有关在心脏手术、脓毒症、休克和新冠肺炎疾病中观察到的微循环变化的全面信息。通过全面探究,该综述强调了微循环、疾病状态和临床结果之间的复杂关系,强调了在重症监护环境中理解和监测微血管动力学的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b189/11595220/f1b85233e094/jcm-13-06762-g001.jpg

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