Sepsis复苏与肠道-where do we stand?

来源 :中华医学会第22次全国麻醉学术年会 | 被引量 : 0次 | 上传用户:lau_lfm
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本文从Sepsis的病理生理变化入手,提出正确认识胃肠道功能改变的意义,并采取更为合理、精确的评估手段,以指导Sepsis的治疗,依然是需要临床深入探索的课题.1.Sepsis本质是全身脏器微循环障碍导致的组织细胞缺氧;2.肠道粘膜微循环障碍引起肠道屏障功能受损,反而进一步加重Sepsis发生发展,甚至导致MODS;3.监测胃肠道微循环的技术发展很快,但目前缺乏具备"无创/微创、成本低廉、定量化、胃肠道本身干扰小"等理想化特点"金标准";4.胃肠道和舌下组织pHi,及OPS、SDF等新技术直接观察微循环血流变化,可能具有临床实践推广的价值.
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