医学
败血症
急性肾损伤
肾
串扰
内生
重症监护医学
内科学
光学
物理
作者
Li Zhang,Yì Wáng,Xiangyou Yu
出处
期刊:PubMed
日期:2023-03-01
卷期号:35 (3): 329-333
标识
DOI:10.3760/cma.j.cn121430-20230131-00051
摘要
Sepsis-associated acute kidney injury (SA-AKI), as a common renal dysfunction in sepsis, has become one of the major diseases threatening human health with increasing morbidity and mortality. Based on the theory of "gut-kidney axis", the intestine and kidney have a two-way synergistic relationship in sepsis. Intestinal flora imbalance, endogenous metabolite imbalance, and impaired endothelial barrier integrity are involved in renal injury, and the increase of renal inflammatory mediators interferes with the composition of intestinal microorganisms. Therefore, understanding the intestinal-renal crosstalk mechanism of SA-AKI will help to provide a potential basis for new treatment strategies for SA-AKI.
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