脓毒症相关神经系统并发症  

Sepsis related neurological complications

作　　者：茹喜芳[1] 王颖[1] Ru Xifang;Wang Ying(Department of Pediatrics,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院儿科,100034

出　　处：《中国小儿急救医学》2018年第12期913-916,共4页Chinese Pediatric Emergency Medicine

摘　　要：神经系统并发症是脓毒症常见的并发症,包括中枢神经系统并发症和外周神经系统并发症。脓毒症相关中枢神经系统并发症主要包括脓毒症相关性脑病(sepsis associated encephalopathy,sAE)、脓毒症转移性脑炎(septic—metastatic encephalitis,SME)和脓毒症栓塞性脑炎(septic-embolic encephalitis,SEE),其中SAE是脓毒症最常见的中枢神经系统并发症。脓毒症相关外周神经系统并发症主要包括危重病性多神经病(critical illness polyneuropathy,CIP)和(或)危重病性肌病(critical illness myopathy,CIM),可导致脓毒症患者肌无力,呼吸机撤机困难。脓毒症神经系统并发症与患者病死率和预后密切相关,早期识别、及时干预至关重要。The central nervous system (CNS)complications and peripheral nervous system (PNS) complications are common complications of sepsis.CNS complications include sepsis associated encephalopathy (SAE),septic-metastatic encephalitis (SME),and septic-embolic encephalitis (SEE).Of them,the SAE is the most common complication of CNS complications.PNS complications include critical illness polyneuropathy (CIP)and critical illness myopathy (CIM).CIP and CIM could lead to muscle weakness and dependence on mechanical ventilation of patients with sepsis.Sepsis related neurological complications are closely related to the mortality and prognosis of patients,so early recognition and timely intervention are important.

关 键 词：脓毒症 神经系统并发症 脓毒症相关性脑病 脓毒症所致脑功能障碍 危重病性多神经病 危重病性肌病 

分 类 号：R459.7[医药卫生—急诊医学] R747.9[医药卫生—治疗学]