Gao Hang, Yi Tingting, Hu Bo, Lv Zhiquan, Ma Linyu, Wang Shouyong
Department of Anesthesiology of the People's Hospital of Yongchuan District, Chongqing, China.
Department of Anesthesiology of the Affiliated Yongchuan Hospital of Chongqing Medical University, Chongqing, China.
Medicine (Baltimore). 2025 Jun 27;104(26):e43019. doi: 10.1097/MD.0000000000043019.
Studies into the mechanisms of cardiopulmonary bypass-associated acute lung injury have not presented breakthroughs for many years, resulting in the stagnation of management strategies and clinical medicine measures. This is a key factor affecting the prognoses of open-heart surgery patients. Future studies should focus on key targets of inflammation, such as neutrophils, macrophages, and the glycocalyx cell coat, and further explore advanced technologies, such as gene editing and single-cell sequencing, to reveal the underlying mechanisms of cardiopulmonary bypass-associated acute lung injury and to find effective prevention and treatment strategies.
多年来,对体外循环相关急性肺损伤机制的研究一直没有取得突破,导致管理策略和临床医学措施停滞不前。这是影响心脏直视手术患者预后的关键因素。未来的研究应聚焦于炎症的关键靶点,如中性粒细胞、巨噬细胞和糖萼细胞衣,并进一步探索基因编辑和单细胞测序等先进技术,以揭示体外循环相关急性肺损伤的潜在机制,并找到有效的预防和治疗策略。