Rodrigo-Casanova P, García-Peña J M
Servicio de Anestesiología y Reanimación, Hospital de Basurto, Bilbao.
Rev Esp Anestesiol Reanim. 1997 Jun-Jul;44(6):230-43.
Perhaps no area of medicine has advanced as dramatically and rapidly as the one dedicated to the knowledge of infections and sepsis. In the last decade, there has been a virtual explosion of new information in the area, including, among others, the discovering of new antibiotics of broad spectre and important sighting into the mechanisms of cardiovascular dysfunction, several sepsis-induced new cytokines and inflammatory mediators, as well as the role of the L-arginine-nitric oxide pathway in the pathophysiology of sepsis. These advances have provided further expectations in reduction of morbidity and mortality from sepsis, that have not still been confirmed on different phase III clinical trials with immunologic therapies. That have seen undertaken and reported the aim of this issue is reviewing the current concepts and definitions, pathophysiology, prophylaxis, and therapeutic approaches in infection and sepsis.
或许医学领域中没有哪个领域能像专注于感染与脓毒症知识的领域那样取得如此显著和迅速的进展。在过去十年里,该领域出现了大量新信息,其中包括发现了新型广谱抗生素,对心血管功能障碍机制有了重要认识,发现了几种脓毒症诱导产生的新细胞因子和炎症介质,以及L-精氨酸-一氧化氮途径在脓毒症病理生理学中的作用。这些进展为降低脓毒症的发病率和死亡率带来了更多期望,但在不同的免疫治疗III期临床试验中尚未得到证实。本期的目的是回顾感染与脓毒症的当前概念和定义、病理生理学、预防措施及治疗方法。