基于大气虚陷与毒瘀内蕴探讨脓毒症急性呼吸窘迫综合征中医病机  

Discussion on Chinese Medicine Pathogenesis of Sepsis-Induced Acute Respiratory Distress Syndrome Based on Inward Invasion of Pectoral Qi of Deficiency Type and Internal Accumulation of Toxin and Stasis

作　　者：左天 袁春燕 马世红[1,2] 杜炯栋[1,2] ZUO Tian;YUAN Chunyan;MA Shihong;DU Jiongdong(The Second Clinical Medical College of Guangzhou University of traditional Chinese medicine,Guangzhou,Guangdong 510120;Guangdong Provincial Hospital of traditional Chinese medicine,Guangzhou,Guangdong 510120)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510120 [2]广东省中医院,广东广州510120

出　　处：《新中医》2021年第16期196-201,共6页New Chinese Medicine

基　　金：国家自然科学基金面上项目(81974538);广东省科技厅广东省中医急症研究重点实验室专项项目(2016B030314176);广东省中医药局科研项目面上项目(20191134)。

摘　　要：脓毒症是重症医学的主攻病种和重要难点,急性呼吸窘迫综合征(ARDS)是脓毒症呼吸系统的主要并发症。ARDS在脓毒症多系统损害过程中出现最早,发生率高。其发病机制复杂,病死率居高不下,临床治疗效果有限。传统中医学既往对该病无系统认识和论述,进一步梳理和探讨该病发生发展过程中的中医病机演变,有利于发挥中医节点干预优势,提高中西医结合治疗危重症的疗效。Sepsis is a major disease and a major difficulty in critical care medicine.Acute respiratory distress syndrome(ARDS)is a major complication of sepsis.ARDS appears earliest in the process of multi-system damage in sepsis with a high incidence.The pathogenesis of it is complex;the fatality rate is high and the clinical therapeutic effect is limited.In the past,there was no systematic understanding and discussion of this disease in Chinese medicine.To further summarize and explore the evolution of Chinese medicine pathogenesis during the occurrence and development of this disease is conducive to giving full play to the advantages of Chinese medicine intervention and improving the effect of integrated Chinese and western medicine in the treatment of critical diseases.

关 键 词：急性呼吸窘迫综合征 脓毒症 毒瘀内蕴 大气虚陷 中医病机 

分 类 号：R631.2[医药卫生—外科学]