ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2023, Vol. 32 ›› Issue (4): 383-387.DOI: 10.3969/j.issn.1006-298X.2023.04.018

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脓毒症相关急性肾损伤的病理生理机制

  

  • 出版日期:2023-08-28 发布日期:2023-08-30

Pathophysiology of sepsis-associated acute kidney injury

  • Online:2023-08-28 Published:2023-08-30

摘要: 脓毒症是导致急性肾损伤(AKI)最常见的原因之一。脓毒症相关急性肾损伤(SAAKI)早期不易识别,病死率高,预后差,其发病机制复杂、多因素参与,临床表型、疾病进展、治疗反应均具有异质性,目前尚无确切有效干预手段。本文就SAAKI的病理生理机制作一综述,以期为进一步研究提供参考。


关键词: 脓毒症, 急性肾损伤, 免疫系统, 微循环, 线粒体

Abstract: Sepsis is one of the most common causes of acute kidney injury (AKI) in clnical. Sepsis-associated AKI (SA-AKI) is difficult to detect in the early stage, and has a high mortality rate and poor prognosis. Its pathogenesis is complicated, with multiple factors involved,and its clinical phenotypes,disease progression, and treatment response are all potentially heterogeneous. Currently, there is no definite and effective means of intervention. This review summarized the pathophysiology of SAAKI, in order to provide a reference for further research.


Key words: sepsis, acute kidney injury, immune system, microcirculatory, mitochondrial