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多发性创伤早期SIRS与CARS 被引量：5

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摘要 随着社会的发展,致伤因素不断增加,现代创伤呈现的伤情重而复杂,其救治成功率尚不容乐观.众多研究表明,如何减少或避免多发性创伤早期全身性损害是有效提高创伤治愈率、减少死亡率和伤残率的关键因素.现代观念认为,创伤、感染等重症疾患虽然可能源于不同诱因,但最终都会引起自身的免疫失控,导致过激的炎症反应及免疫障碍.因此,深刻认识多发伤早期SIRS与CARS的发病机制和病理生理,有助于临床救治.
作者 李世蒙 霍正禄
机构地区 中国人民解放军第二军医大学附属长海医院急诊科
出处 《中国急救医学》 CAS CSCD 北大核心 2003年第11期801-802,共2页 Chinese Journal of Critical Care Medicine
关键词 多发性创伤 早期 SIRS CARS 诊断标准
分类号 R641 [医药卫生—外科学]
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参考文献15

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同被引文献33

  • 1王和贤,杨军,姜波健.严重多发伤患者血清TNF-α,IL-6、IL-8的变化及意义[J].重庆医学,2004,33(8):1198-1199. 被引量：8
  • 2邵义明,张良清,邓烈华,姚华国.乌司他丁对全身炎症反应综合征的治疗作用[J].中国危重病急救医学,2005,17(4):228-230. 被引量：155
  • 3徐家相.地震灾害的紧急医疗救援[J].中华急诊医学杂志,2005,14(7):557-558. 被引量：99
  • 4钟剑平.创伤性躯体下四分之一撕脱1例报告[J].解放军医学杂志,1982,7:167-169.
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  • 6Malone DL, Kuhls D, Napolitano LM, et al. Back to basics:validation of the admission systemic inflammatory response syndrome score in predicting outcome in trauma. J Trauma, 2001, 51(3) :458 - 463.
  • 7Speilman S, Kemer K, Ahlers O, et al. Early detection of increased tumor necrosis factor alpha ( TNF - α ) and soluble TNF receptor protein plasma levels after trauma reveals associations with the clinical course. Acta Anaesthesiol Scand, 2001,45(3) :362 -365.
  • 8Endo S, Kasai T, Inada K. Evaluation of procalcitonin levels in patients with systemic inflammatory response syndrome as the diagnosis of infection and the severity of illness. Kansenshogaku Zasshi, 1999, 73(3) :195 -198.
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引证文献5

二级引证文献21

中国急救医学
2003年 第11期

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