Multiple Organ Dysfunction Syndrome

被引:58
|
作者
Gourd, Nicholas M. [1 ,2 ]
Nikitas, Nikitas [1 ]
机构
[1] Univ Hosp Plymouth NHS Trust, Derriford Hosp, Dept Intens Care Med, Plymouth, Devon, England
[2] Univ Plymouth, Fac Med & Dent, Plymouth, Devon, England
关键词
multiple organ dysfunction; pathophysiology; inflammation; INFLAMMATORY RESPONSE SYNDROME; MITOCHONDRIAL DYSFUNCTION; LUNG INJURY; BACTERIAL TRANSLOCATION; HEMORRHAGIC-SHOCK; IMPROVES SURVIVAL; CRITICAL ILLNESS; PLASMA-EXCHANGE; FAILURE; SEPSIS;
D O I
10.1177/0885066619871452
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Multiple organ dysfunction syndrome (MODS) is one of the most common syndromes of critical illness and the leading cause of mortality among critically ill patients. Multiple organ dysfunction syndrome is the clinical consequence of a dysregulated inflammatory response, triggered by clinically diverse factors with the main pillar of management being invasive organ support. During the last years, the advances in the clarification of the molecular pathways that trigger, mitigate, and determine the outcome of MODS have led to the increasing recognition of MODS as a distinct disease entity with distinct etiology, pathophysiology, and potential future therapeutic interventions. Given the lack of effective treatment for MODS, its early recognition, the early intensive care unit admission, and the initiation of invasive organ support remain the most effective strategies of preventing its progression and improving outcomes.
引用
收藏
页码:1564 / 1575
页数:12
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