腹腔感染时淋巴回流作用的研究进展  

Advances of Lymphocinesia in The Abdominal Cavity Infection

作　　者：王科[1,2] 汪涛[1] 

机构地区：[1]成都军区总医院全军普通外科中心,四川成都610083 [2]泸州医学院临床医学院,四川泸州646000

出　　处：《中国普外基础与临床杂志》2014年第6期778-781,共4页Chinese Journal of Bases and Clinics In General Surgery

基　　金：成都军区总医院院管课题(项目编号:424121HE)~~

摘　　要：目的总结腹腔感染时淋巴回流作用的研究进展。方法搜集国内外有关腹腔感染时淋巴回流作用的文献并作综述。结果腹腔感染时发生肠道细菌易位,易位的细菌和内毒素早期可通过淋巴系统回流并可至远离肠道的其他组织或器官。此外,腹膜淋巴孔在腹膜淋巴循环中占有重要作用,并具有较强的吸收和免疫功能。结论肠道细菌易位的淋巴免疫通道和腹膜淋巴孔途径是对细菌和内毒素门静脉播散理论的有力补充,淋巴途径和门静脉途径的结合能较好地解释腹腔感染性全身感染。从淋巴途径着手对腹腔感染进行干预,将是一项具有前景的研究。Objective To review the advances of lymphocinesia in the abdominal cavity infection. Methods Domestic and foreign literatures about the research of lymphocinesia in the abdominal cavity infection were collected and reviewed.Results Bacterial translocation occurred when abdominal infection happened. At early phase, bacteria and endotoxin translocation could return and arrive the other tissues or organs through the lymphatic system. The peritoneal lymphatic stomata played an important role in lymphatic circulation, with strong absorption function and immune function. Conclusions The theory of lymphatic channels and lymphatic stomata immune pathway is a beneficial supplement to the theory that bacterial and endotoxin can spread to whole body through portal vein pathway, and combination of the 2 kinds of theories can explain the abdominal infection-related systematic infection better. Research of abdominal infection intervention which embarked on the lymphatic pathways would be a promising field.

关 键 词：腹腔感染 淋巴回流 细菌易位 腹膜淋巴孔 

分 类 号：R63[医药卫生—外科学]