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重症急性胰腺炎肠黏膜屏障功能障碍的发生机制
引用本文:伍华飞,张树友. 重症急性胰腺炎肠黏膜屏障功能障碍的发生机制[J]. 海南医学, 2009, 20(9): 129-131
作者姓名:伍华飞  张树友
作者单位:南华大学附属南华医院普外科,湖南,衡阳,421002;南华大学附属南华医院普外科,湖南,衡阳,421002
摘    要:重症急性胰腺炎时常并发肠黏膜屏障功能障碍,导致肠道细菌移位,内毒素血症,胰腺继发感染,造成对机体的”二次打击”。炎症介质、微循环障碍、腹内高压、细胞凋亡等因素共同作用可能是肠黏膜屏障功能障碍的机制。

关 键 词:重症急性胰腺炎  肠黏膜屏障  损伤  细菌移位

Mechamism of severe acute pancreatitis associated gut barrier dysfunction
WU Hua-fei,ZHANG Shu-you. Mechamism of severe acute pancreatitis associated gut barrier dysfunction[J]. Hainan Medical Journal, 2009, 20(9): 129-131
Authors:WU Hua-fei  ZHANG Shu-you
Affiliation:WU Hun -fei, ZHANG Shu - you.( Department of General Surgery, Nanhua Hospital Affiliated to Nanhua University, Hengyang 421002, Hunan, P. R. CHINA )
Abstract:The gut barrier function is always impaired in the early stage of severe acute panereatitis. Gut barrier dysfunction could result in bacterial transloeation, endotoxemia and secondary infection of pancreatitis, which cause "second attack" to the body. Inflammatory mediators, microeirlation failure, intra- abdominal hyper- tension, cell apoptosis and other factors may together contribute to gut barrier dysfunction.
Keywords:Severe acute pancreatitis  Gut barrier  Injury  Bacterial translocation
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