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Study progress on mechanism of severe acute pancreatitis complicated with hepatic injury
作者姓名:ZHANG Xi-ping  WANG Lei  ZHANG Jie
作者单位:ZHANG Xi-ping1,WANG Lei2,ZHANG Jie2(1Department of General Surgery,Hangzhou First People’s Hospital,Hangzhou 310006,China)(2Zhejiang University of Traditional Chinese Medicine,Hangzhou 310053,China)
基金项目:Project supported by the Administration of Traditional Chinese Medicine of Zhejiang Province (Nos. 2003C130 and 2004C142),the Medical Science and Technology of Health Department of Zhejiang Province (No. 2003B134),the Technology and Development of Technological Bureau of Hangzhou (No. 2003123B19), China
摘    要:Study on the action mechanism of inflammatory mediators generated by the severe acute pancreatitis(SAP) in mul-tiple organ injury is a hotspot in the surgical field.In clinical practice,the main complicated organ dysfunctions are shock,res-piratory failure,renal failure,encephalopathy,with the rate of hepatic diseases being closely next to them.The hepatic injury caused by SAP cannot only aggravate the state of pancreatitis,but also develop into hepatic failure and cause patient death.Its complicated pathogenic mechanism is an obstacle in clinical treatment.Among many pathogenic factors,the changes of vasoac-tive substances,participation of inflammatory mediators as well as OFR(oxygen free radical),endotoxin,etc.may play important roles in its progression.

关 键 词:Severe  acute  pancreatitis  Hepatic  injury  Inflammatory  mediators  Cytokines  Endotoxin  Nuclear  factor-κB
收稿时间:13 June 2006
修稿时间:22 December 2006

Study progress on mechanism of severe acute pancreatitis complicated with hepatic injury
ZHANG Xi-ping,WANG Lei,ZHANG Jie.Study progress on mechanism of severe acute pancreatitis complicated with hepatic injury[J].Journal of Zhejiang University Science,2007,8(4):228-236.
Authors:ZHANG Xi-ping  WANG Lei  ZHANG Jie
Institution:(1) Department of General Surgery, Hangzhou First People’s Hospital, Hangzhou, 310006, China;(2) Zhejiang University of Traditional Chinese Medicine, Hangzhou, 310053, China
Abstract:Study on the action mechanism of inflammatory mediators generated by the severe acute pancreatitis(SAP) in mul-tiple organ injury is a hotspot in the surgical field.In clinical practice,the main complicated organ dysfunctions are shock,res-piratory failure,renal failure,encephalopathy,with the rate of hepatic diseases being closely next to them.The hepatic injury caused by SAP cannot only aggravate the state of pancreatitis,but also develop into hepatic failure and cause patient death.Its complicated pathogenic mechanism is an obstacle in clinical treatment.Among many pathogenic factors,the changes of vasoac-tive substances,participation of inflammatory mediators as well as OFR(oxygen free radical),endotoxin,etc.may play important roles in its progression.
Keywords:Severe acute pancreatitis  Hepatic injury  Inflammatory mediators  Cytokines  Endotoxin  Nuclear factor-κ  B
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