| 早期诊断严重脓毒症脓毒性休克研究进展 |
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| 引用本文： | 俞娅芬,陈德昌,宋秀琴.早期诊断严重脓毒症脓毒性休克研究进展[J].中国急救医学,2007,27(2):154-156. |
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| 作者姓名： | 俞娅芬 陈德昌 宋秀琴 |
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| 作者单位： | 1. 214061,江苏,无锡,苏州大学附属四院ICU
2. 210000,上海,解放军第二军医大学长征医院急救科 |
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| 摘 要： | 脓毒症(sepsis)可发展成严重脓毒症(severe sepsis)甚至脓毒性休克(septic shock),其发展转归有众多复杂的机制参与,包括宿主对感染的反应以及氧的传输和利用障碍等。早期诊断和积极干预脓毒症,有利于改善脓毒症的预后。早期诊断的生物学指标包括降钙素原(procal-citonin,PCT)、前肾上腺髓质素(proadrenom edullin,proADM)及前心房尿钠肽(pro-atrial natriuretic peptide,proANP)等。
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| 关 键 词： | 脓毒症 脓毒性休克 降钙素原 前肾上腺髓质素 前心房尿钠肽 |
| 文章编号： | 1002-1949(2007)02-0154-03 |
| 修稿时间： | 2006-09-30 |
Study on the early diagnosis of severe sepsis and septic shock |
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| YU Ya-fen,CHEN De-chang,SONG Xiu-qing.Study on the early diagnosis of severe sepsis and septic shock[J].Chinese Journal of Critical Care Medicine,2007,27(2):154-156. |
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| Authors: | YU Ya-fen CHEN De-chang SONG Xiu-qing |
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| Institution: | ICU , the 4th Affiliated Hospital of Soochow University, Wuxi 214061, China |
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| Abstract: | Sepsis can develop into severe sepsis or even septic shock, and a complex mechanism is involved, including the reaction of the host to infection and the barrier of oxygen transport and utilization. Early diagnosis and intervention of sepsis are beneficial to the prognosis. Procalcitonin(PCT), proadrenomedullin(proADM), pro-atrial natriuretic peptide(proANP) are some of the possible biological markers for diagnosis. |
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| Keywords: | Severe sepsis Septic shock Procalcitonin (PCT) Proadrenomedullin(proADM) Pro-atrial natriuretic peptide (proANP) |
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