实用医学杂志 ›› 2022, Vol. 38 ›› Issue (7): 795-798.doi: 10.3969/j.issn.1006⁃5725.2022.07.004

• 专题报道 • 上一篇    下一篇

脓毒症相关肝损伤与肠-肝轴研究进展

张杰1 李小悦1 黄家华2 韩静2   

  1. 1 遵义医科大学第五附属(珠海)医院重症医学科,急诊科(广东珠海 519100); 2 遵义医科大学珠海校区(广东珠海 519041)

  • 出版日期:2022-04-10 发布日期:2022-04-10
  • 通讯作者: 李小悦 E⁃mail:euyeuy1983@126.com
  • 基金资助:
    国家自然科学基金(编号:81960361);广西自然科 学基金(编号:2017GXNSFBA198044);广西医疗卫生适宜技术开 发与推广应用项目(编号:S2018074);珠海市新型冠状病毒疫情 防控应急研究项目(编号:ZH22036302200061PWC);贵州省科技 支撑计划防控新型冠状病毒技术攻关及集成应用专项项目(编 号:黔科合支撑[2020]4Y196 号) 

Research progress of sepsis⁃related liver injury and gut⁃liver axis

ZHANG Jie*,LI Xiaoyue,HUANG Jiahua, HAN Jing.   

  1. Department of Critical Care Medicine and Emergency,Department of the Fifth Affiliated Hospital of Zunyi Medical University(Zhuhai),Zhuhai 519100,China 

  • Online:2022-04-10 Published:2022-04-10
  • Contact: LI Xiaoyue E⁃mail:euyeuy1983@126.com

摘要:

脓毒症(sepsis)是急危重症患者最常见的死亡原因之一。脓毒症相关肝损伤(sepsis⁃related liver injury)发病机制复杂,与微循环功能障碍、氧自由基损伤、肠道细菌和内毒素移位、炎症因子过度产生 等有关,是脓毒症常见并发症。目前认为肠⁃肝轴参与脓毒症相关肝损伤的发生发展。深入探讨肠-肝轴在 脓毒症相关肝损伤发病机制中的作用将有助于寻找更有效的治疗措施、提高脓毒症患者的抢救成功率。

关键词:

脓毒症相关肝损伤, -肝轴, 肠道菌群

Abstract:

Sepsis is one of the most common causes of death in critically ill patients. Sepsis⁃related liver injury is a common complication of sepsis,which is related to microcirculation dysfunction,oxygen free radical injury,intestinal bacterial and endotoxin translocation,and excessive production of inflammatory factors. It is believed that the gut ⁃liver axis is involved in the development of sepsis ⁃ related liver injury. Further study on the role of gut⁃liver axis in the pathogenesis of sepsis⁃related liver injury will help to find more effective treatment mea⁃ sures and improve the success rate of rescue in sepsis patients.

Key words:

sepsis?related liver injury, gut?liver axis, gut flora