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Microvascular dysfunction as a cause of organ dysfunction in severe sepsis.

机译:微血管功能障碍是严重败血症中器官功能障碍的原因。

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摘要

Reduced microvascular perfusion has been implicated in organ dysfunction and multiple organ failure associated with severe sepsis. The precise mechanisms underlying microvascular dysfunction remain unclear, but there are considerable experimental data showing reduced microcirculatory flow, particularly of small vessels, and increased heterogeneity. With the development of newer imaging techniques, human studies have also been conducted and have given rise to similar findings. Importantly, the degree of microvascular disturbance and its persistence is associated with poorer outcomes. The ability to influence these changes may result in better outcomes and bedside systems, enabling direct visualization of the microcirculation, which will help in the assessment of ongoing microcirculatory dysfunction and its response to established and new therapeutic interventions.
机译:减少的微血管灌注与严重的败血症相关的器官功能障碍和多器官功能衰竭有关。微血管功能障碍的确切机制尚不清楚,但是有大量实验数据显示微循环流量减少,尤其是小血管的微循环流量减少,异质性增加。随着更新的成像技术的发展,已经进行了人类研究,并且产生了类似的发现。重要的是,微血管紊乱的程度及其持续性与较差的预后相关。影响这些变化的能力可能会导致更好的预后和床旁系统,从而可以直接可视化微循环,这将有助于评估正在进行的微循环功能障碍及其对既定和新治疗干预措施的反应。

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