试论严重脓毒症与温病五死证的相关性及临床意义  

Correlation of Five Death Syndrome of Febrile Disease with Severe Sepsis and Its Clinical Significance

作　　者：李际强[1] 李俊[1] 

机构地区：[1]广东省中医院,广东广州510120

出　　处：《辽宁中医杂志》2015年第7期1234-1236,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：广东省自然科学基金项目(9451040701003687)

摘　　要：临床发现温病五死证与严重脓毒症的中医病因病机具有一定相关性。文章深入浅出地论述了严重脓毒症所导致的各脏器功能衰竭与五死证的病机有惊人的相似之处,如肺之化源绝者死,为脓毒症合并呼吸衰竭病机;心神内闭,内闭外脱者死,为脓毒症脑功能衰竭或脓毒症休克之病机;阳明大实,土克水者死,为脓毒症合并肠功能障碍之病机;脾郁发黄,黄极则诸窍为闭,秽浊塞窍者死,为脓毒症致肝功能衰竭的病机;热邪深入,销烁精液,涸尽而死,为脓毒症合并肾功能衰竭少尿期或多脏器功能障碍的主要病机。治疗严重脓毒症患者时,应谨守病机,辨证论治,才能力挽狂澜,死证不死。Five death syndromes of febrile disease and severe sepsis pathogenesis have some relevance. This article discusses the various organ failures caused by severe sepsis and five death syndromes of febrile disease have striking similarities. For example,lung depletion is the pathogenesis of sepsis-induced respiratory failure. Closed or outside off the mind is pathogenesis of sepsis-induced brain dysfunction or septic shock. Yangming excess and earth restricting water are the pathogenesis of sepsis-induced intestinal dysfunction. Temper stagnation results in jaudice and foul closing orifices are pathogenesis of sepsis-induced liver failure. Pathogenic heat exhausting body fluid is the pathogenesis of sepsis-induced renal failure or multiple organ failure syndrome. When treating patients with severe sepsis,we should keep pathogenesis,diagnosis and treatment,in order to turn the tide and to treat critically ill.

关 键 词：温病五死证 严重脓毒症 中医病因病机 

分 类 号：R254[医药卫生—中医内科学]