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脓毒症相关免疫抑制的研究进展

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脓毒症是一种由宿主对感染的反应失调而引起的序贯性器官功能障碍,是急危重症患者常见的死亡原因之一.其中,免疫抑制在脓毒症发展过程中扮演着关键角色.本文阐述了脓毒症相关免疫抑制的发病机制和免疫学特征,从刺激免疫恢复、清除炎症介质、提高机体免疫力等方面分析了脓毒症免疫治疗的现状,指出明确脓毒症患者免疫学特征和免疫学分型的重要性,寻找基于免疫靶点改善脓毒症预后的新方法.
Research progress on sepsis-induced immunosuppression
Sepsis,characterized by inadequate host responses to infection,leads to life-threatening organ dysfunction and is a major cause of mortality among critically ill patients.Among them,immunosuppression plays a crucial role in the development of sepsis.This review elaborates on the pathogenesis and immunological features of sepsis-induced immunosuppression.Then,we analyzed the current situation of immunotherapy for sepsis from the angles of restoring immune stimulation,eliminating inflammatory mediators,and improving immunity.We emphasized the need for a comprehensive analysis of the traits and immunological types of patients with sepsis,generating new approaches to improve the prognosis of sepsis based on immune targets.

SepsisImmunosuppressionImmunotherapy

曾丽媛、莫晓叶、李小刚、王爱民

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中南大学湘雅医院急诊科,湖南长沙 410008

脓毒症 免疫抑制 免疫治疗

国家自然科学基金青年科学基金

82002010

2024

中国中西医结合急救杂志
中国中西医结合学会

中国中西医结合急救杂志

CSTPCD
影响因子:1.925
ISSN:1008-9691
年,卷(期):2024.31(3)
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