临床急诊杂志2024,Vol.25Issue(9) :503-508.DOI:10.13201/j.issn.1009-5918.2024.09.010

创伤失血性休克中糖皮质激素治疗机制的研究进展

Advances in the mechanism of glucocorticoid therapy in traumatic hemorrhagic shock

陈锦 穆盼盼 郭栓柱 李天星
临床急诊杂志2024,Vol.25Issue(9) :503-508.DOI:10.13201/j.issn.1009-5918.2024.09.010

创伤失血性休克中糖皮质激素治疗机制的研究进展

Advances in the mechanism of glucocorticoid therapy in traumatic hemorrhagic shock

陈锦 1穆盼盼 2郭栓柱 1李天星2
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作者信息

  • 1. 广东医科大学(广东湛江,524000)
  • 2. 阳江市人民医院(广东医科大学附属阳江医院)急诊科
  • 折叠

摘要

创伤失血性休克是严重创伤失血所致的低血容量性休克.该病患者起病急,死亡率高,治疗难度大,极易引起患者永久性器官功能损害或死亡,目前迫切需要改进治疗策略,提高救治成功率.血液丧失与有效血容量不足是创伤失血性休克的核心机制,炎症反应和免疫失衡也在其中扮演重要角色.在补充血容量的同时,如何延缓或改善这种炎症失衡的状态,可能是提高患者救治成功率的关键.近期有研究显示,糖皮质激素在治疗创伤失血性休克方面具有重要的临床价值,但涉及还不够深入,亟须全面评估.本文重点梳理糖皮质激素治疗创伤失血性休克的临床效应与机制.

Abstract

Traumatic hemorrhagic shock is a hypovolemic shock caused by severe traumatic blood loss.The patients with this disease have acute onset,high mortality,and great difficulty in treatment,which can easily cause permanent organ damage or death.At present,there is an urgent need to improve the treatment strategy and improve the success rate of treatment.Blood loss and insufficient effective blood volume are the core mecha-nisms of traumatic hemorrhagic shock,in which inflammatory response and immune imbalance also play an im-portant role.How to delay or improve the imbalance of inflammation while replenishing the blood volume may be the key to improve the success rate of treatment.Recent studies have shown that glucocorticoids have important clinical value in the treatment of traumatic hemorrhagic shock,but the involvement is not deep enough,and com-prehensive evaluation is urgently needed.This review focuses on the clinical effects and mechanisms of glucocorti-coids in the treatment of traumatic hemorrhagic shock.

关键词

创伤/失血性休克/糖皮质激素/炎症反应/进展

Key words

trauma/hemorrhagic shock/glucocorticoids/inflammatory response/progress

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基金项目

广东省阳江市卫健局科技计划项目(阳卫健2023013)

出版年

2024
临床急诊杂志
华中科技大学同济医学院

临床急诊杂志

CSTPCD
影响因子:0.652
ISSN:1009-5918
参考文献量10
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