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老年人群中的脓毒症:危险因素、诊断及管理综述

Sepsis in Aging Populations: A Review of Risk Factors, Diagnosis, and Management.

作者信息

Alhamyani Abdulaziz H, Alamri Musharraf S, Aljuaid Nawwaf W, Aloubthani Abdulrhman H, Alzahrani Shafi, Alghamdi Ali A, Lajdam Abdullah S, Alamoudi Hamza, Alamoudi Abdulrahman A, Albulushi Adham M, AlQarni Saad Nasser

机构信息

Family Medicine, Armed Forces Hospitals, Taif, SAU.

Emergency Medicine, King Abdulaziz University, Jeddah, SAU.

出版信息

Cureus. 2024 Dec 2;16(12):e74973. doi: 10.7759/cureus.74973. eCollection 2024 Dec.

Abstract

Sepsis remains a significant global health concern, particularly among aging populations. This comprehensive review examines the complex interplay between aging and sepsis, focusing on risk factors, diagnostic challenges, and management strategies specific to older adults. The study explores the physiological changes associated with aging that contribute to increased sepsis susceptibility, including immunosenescence and chronic inflammation. It delves into the unique pathophysiology of sepsis in the elderly, highlighting the role of comorbidities and age-related immune dysfunction. The review emphasizes the importance of early recognition and tailored interventions for sepsis in older patients, addressing the often atypical presentation of symptoms in this population. By synthesizing current research and clinical guidelines, this study aims to enhance understanding of sepsis in aging populations and improve outcomes through targeted prevention, prompt diagnosis, and effective management strategies. The findings underscore the need for age-specific approaches in sepsis care and highlight areas for future research to address the growing burden of sepsis in an aging global population.

摘要

脓毒症仍然是一个重大的全球健康问题,在老年人群中尤为如此。这篇综述探讨了衰老与脓毒症之间的复杂相互作用,重点关注老年人特有的风险因素、诊断挑战和管理策略。该研究探讨了与衰老相关的生理变化,这些变化导致脓毒症易感性增加,包括免疫衰老和慢性炎症。它深入研究了老年人脓毒症的独特病理生理学,强调了合并症和年龄相关免疫功能障碍的作用。该综述强调了对老年患者脓毒症进行早期识别和针对性干预的重要性,解决了该人群中症状通常不典型的问题。通过综合当前的研究和临床指南,本研究旨在增进对老年人群脓毒症的理解,并通过有针对性的预防、及时诊断和有效的管理策略改善治疗结果。研究结果强调了在脓毒症护理中采用针对特定年龄的方法的必要性,并突出了未来研究的领域,以应对全球老龄化人口中脓毒症日益增加的负担。

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本文引用的文献

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Immunosenescence: molecular mechanisms and diseases.免疫衰老:分子机制与疾病。
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