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脓毒症相关肝损伤中医药治疗思路

杨薇 刘清泉 杨华升

世界中医药Issue(3):291-295,5.
世界中医药Issue(3):291-295,5.DOI:10.3969/j.issn.1673-7202.2014.03.008

脓毒症相关肝损伤中医药治疗思路

Treatment Thoughts of Traditional Chinese Medicine in Sepsis Related Liver Injury

杨薇 1刘清泉 1杨华升2

作者信息

  • 1. 首都医科大学附属北京中医医院,北京,100010
  • 2. 首都医科大学附属北京佑安医院,北京,100069
  • 折叠

摘要

Abstract

Sepsis is a common complications after serious infection or trauma ,sepsis can cause multiple organ dysfunction.Liver injury is a common complication of sepsis ,and play a very important link in the process of the development of multiple organ dysfunction.Sepsis related liver injury have higher incidence ,is a characteristic early warning indicators for the prognosis of sepsis ,can be used as an inde-pendent risk factor.In the pathogenesis of sepsis related liver damage is mainly caused by inflammatory cytokines released hepatocellular dysfunction,including liver cell necrosis and apoptosis,regeneration barrier,microcirculation,energy metabolic disorders,etc.Liver Kupffer cells plays an important regulatory role in the liver cell injury and liver dysfunction ,hepatic stellate cells also involved in this process.Sepsis combined liver injury mainly show elevated serum aminotransferase and alkaline phosphatase ,and mild to moderate high blood bilirubin.Sepsis related liver injury belongs to the category of disease of toxic heat in TCM theory ,belong to the emergency and vio-lation of jaundice.Important role in the pathogenesis of Kupffer cells , belongs to the category of the sanjiao ( triple energizer ) disease.Therefore,clear the sanjiao(triple energizer)should be as an important treatment of the disease .

关键词

脓毒症/肝损伤/中医药

Key words

Sepsis/Liver injury/Traditional Chinese Medicine

分类

医药卫生

引用本文复制引用

杨薇,刘清泉,杨华升..脓毒症相关肝损伤中医药治疗思路[J].世界中医药,2014,(3):291-295,5.

基金项目

国家“十二五”科技重大专项 ()

世界中医药

OACHSSCDCSTPCD

1673-7202

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