首页|凝血功能紊乱在脓毒症心肌损伤发病机制中作用研究进展

凝血功能紊乱在脓毒症心肌损伤发病机制中作用研究进展

Progress in the study of the role of coagulation dysfunction in the pathogenesis of sepsis-induced myocardial injury

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脓毒症是各种感染引起的宿主反应失调进而导致危及生命的器官功能障碍,全球发病率和病死率居高不下.脓毒症引起的心肌损伤(SIMI)是其最严重的并发症之一,其复杂的病理生理机制涉及过度炎性反应、氧化应激、线粒体损伤、细胞凋亡、细胞自噬及凝血功能紊乱等.其中凝血功能紊乱在发病机制中具有重要作用,早期识别和治疗凝血功能紊乱,对改善患者心脏功能和预后至关重要.文章就凝血功能紊乱在SIMI中的角色作一综述,探讨其作为治疗新靶点的可能性,为临床提供参考.
Sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to various infec-tions,with persistently high global incidence and mortality rates.Myocardial injury induced by sepsis is among its most se-vere complications,with its complex pathophysiological mechanisms involving excessive inflammatory responses,oxidative stress,mitochondrial damage,cell apoptosis,autophagy,and coagulation dysfunction.Coagulation dysfunction plays an in-dispensable role,where its early recognition and treatment are crucial for improving cardiac function and prognosis in pa-tients.The article reviews the role of coagulation dysfunction in sepsis-induced myocardial injury(SIMI),discussing its po-tential as a new therapeutic target,providing a reference for clinical practice.

SepsisMyocardial injuryCoagulation dysfunctionPathogenesis

廖夕茗、杨国辉

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550001 贵阳,贵州医科大学

贵州医科大学附属医院内科ICU

脓毒症 心肌损伤 凝血功能紊乱 发病机制

贵州省科学技术基金

gzwjk2020-1-026

2024

疑难病杂志
中国医师协会

疑难病杂志

CSTPCD
影响因子:1.171
ISSN:1671-6450
年,卷(期):2024.23(8)
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