脓毒症凝血功能紊乱中内皮作用机制及潜在治疗  

The Mechanisms of Endothelium in Sepsis Induced Coagulation Disorders and Potential Therapy

作　　者：严京华 谭利平[1] 

机构地区：[1]重庆医科大学附属儿童医院急诊科,国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教育部重点实验室,儿科学重庆市重点实验室,重庆

出　　处：《临床医学进展》2024年第4期137-146,共10页Advances in Clinical Medicine

摘　　要：脓毒症凝血功能的异常,几乎发生在所有的脓毒症患者的病理生理进程中,随着持续的内皮损伤与凝血功能的障碍相互促进,导致脓毒症的持续进展。越来越多的学者开始认识到,或许脓毒症的本质正是一种内皮病。因此,对于内皮稳态的失衡进行尽早干预,对减少脓毒症重症的发生有重要的意义,本文对脓毒症凝血病中的内皮机制及潜在治疗方案作一综述。The abnormalities of coagulation occur in the pathophysiologic processes of almost all sepsis patients. Leading to continued progression of sepsis as ongoing endothelial injury and coagulation dysfunction reinforce each other. More and more scholars have begun to realize that perhaps the nature of sepsis is the disease of endothelium. Therefore, early intervention for the imbalance of endothelial homeostasis is of great significance to reduce the severity of sepsis and healthcare burden. This article reviews the endothelial mechanism and potential therapeutic options in sepsis induced coagulation disorders.

关 键 词：脓毒症凝血功能紊乱 弥散性血管内凝血 血管内皮细胞 

分 类 号：R54[医药卫生—心血管疾病]