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脓毒症外科患者管理的代谢基础

Metabolic basis for management of the septic surgical patient.

作者信息

Shaw J H, Koea J B

机构信息

Department of Surgery, Auckland Hospital, New Zealand.

出版信息

World J Surg. 1993 Mar-Apr;17(2):154-64. doi: 10.1007/BF01658921.

DOI:10.1007/BF01658921
PMID:8511908
Abstract

The physiologic events accompanying postoperative septic complications in surgical patients represent a coordinated response to bacterial invasion, which is aimed at maintaining the function of key organ systems. When sepsis is prolonged or overwhelming, physiologic dysfunction and multiorgan failure develop. This review outlines the pathophysiologic response to sepsis and correlates it with recent therapeutic advances in the metabolic management of the postoperative septic patient.

摘要

外科患者术后感染性并发症所伴随的生理事件代表了对细菌入侵的一种协调反应,其目的在于维持关键器官系统的功能。当脓毒症持续时间延长或病情严重时,就会出现生理功能障碍和多器官功能衰竭。本综述概述了对脓毒症的病理生理反应,并将其与术后脓毒症患者代谢管理方面的最新治疗进展相关联。

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Metabolic basis for management of the septic surgical patient.脓毒症外科患者管理的代谢基础
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2
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[Septic shock in surgical patients. III. Intensive care].[外科患者的感染性休克。III. 重症监护]
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Physiologic and metabolic correlations in human septic shock.人类感染性休克中的生理和代谢相关性
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Metabolic disorders in severe abdominal sepsis: glutamine deficiency in skeletal muscle.严重腹部脓毒症中的代谢紊乱:骨骼肌中的谷氨酰胺缺乏
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World J Surg. 1993 Mar-Apr;17(2):146-53. doi: 10.1007/BF01658920.
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Alveolo-capillary permeability in human septic ARDS. Effect of high-dose corticosteroid therapy.人类脓毒症急性呼吸窘迫综合征中的肺泡-毛细血管通透性。大剂量皮质类固醇疗法的效果。
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Ann Surg. 1980;192(4):491-504. doi: 10.1097/00000658-198010000-00008.
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