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中华产科急救电子杂志 ›› 2019, Vol. 08 ›› Issue (02) : 108 -115. doi: 10.3877/cma.j.issn.2095-3259.2019.02.010

所属专题: 文献 指南共识

2019年美国母胎医学会"妊娠期及产褥期脓毒症诊断和治疗共识"解读
严少梅1, 樊尚荣1,()   
  1. 1. 518036 深圳,北京大学深圳医院妇产科
  • 收稿日期:2019-03-13 出版日期:2019-05-18
  • 通信作者: 樊尚荣
  • 基金资助:
    深圳卫生计生系统重点学科建设能力提升项目(201606001)

Interpretation of the Consensus on Diagnosis and Treatment of Sepsis in Pregnancy and Pussy in the American Maternal and Fetal Medical Association in 2019

Shaomei Yan1, Shangrong Fan1()   

  • Received:2019-03-13 Published:2019-05-18
  • Corresponding author: Shangrong Fan
引用本文:

严少梅, 樊尚荣. 2019年美国母胎医学会"妊娠期及产褥期脓毒症诊断和治疗共识"解读[J]. 中华产科急救电子杂志, 2019, 08(02): 108-115.

Shaomei Yan, Shangrong Fan. Interpretation of the Consensus on Diagnosis and Treatment of Sepsis in Pregnancy and Pussy in the American Maternal and Fetal Medical Association in 2019[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2019, 08(02): 108-115.

图1 脓毒症的病理生理改变和临床表现示意图。感染细菌细胞壁表面磷脂多糖经免疫细胞TLR4识别,由巨噬细胞产生细胞因子,后者激活凝血和炎症过程,引起血管内皮损伤、血管渗漏、循环衰竭和休克,导致多器官功能障碍或衰竭,包括中枢神经系统(精神改变)、心血管系统(休克)、肺(成人急性呼吸窘迫综合征)、肝(肝损伤或肝衰竭)、胃肠(麻痹性肠梗阻)、肾(肾损伤或衰竭)、血液(弥散性血管内凝血)和内分泌系统(肾上腺功能障碍和胰岛素抵抗增加);组织缺氧通过无氧代谢引起乳酸升高
图2 妊娠期脓毒症的初步处理流程图[1]
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