败血症
凝血病
纤溶
器官功能障碍
医学
病理生理学
血小板
中性粒细胞胞外陷阱
凝结
弥漫性血管内凝血
重症监护医学
重症监护室
消耗性凝血病
蛋白质C
疾病
内皮功能障碍
免疫学
炎症
内科学
作者
Yu‐Wei Chen,Weiwei Chen,Ying Chen,Erzhen Chen
出处
期刊:PubMed
[National Institutes of Health]
日期:2022-02-01
卷期号:34 (2): 198-201
标识
DOI:10.3760/cma.j.cn121430-20210221-00264
摘要
Sepsis is defined as a life-threatening organ dysfunction caused by the dysregulated host response to infection, and is one of the main causes of death in intensive care unit (ICU) patients. Coagulation dysfunction runs through the pathophysiological progress of sepsis whose severity should be closely related to the prognosis of sepsis. Neutrophil extracellular traps (NETs) is a three-dimensional network structure with DNA as the skeleton and inlaid with various protein components. The excessive production of NETs can lead to sepsis-induced coagulopathy (SIC) by activating the coagulation system, inhibiting the anticoagulation system, resisting fibrinolysis, damaging vascular endothelial cells and the interaction of platelets. At present, the treatment of SIC is mainly symptomatic treatment, and there is no recognized effective anticoagulation strategy. Interventions for NETs and their components, and drugs for antiplatelets are expected to become new directions for disease treatment.
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