近10年来,细菌移位的提出引起了人们对肠道生理功能的重新认识,注意到胃肠道不仅是消化和吸收营养的脏器,而且在代谢、免疫调理方面也有重要作用。特别在创伤、感染等应激状态下,肠道不是“静息”地而是活跃地参与应激反应,Wilmore 称肠道是外科应激反应的中心器官。机体应激过度或失调可首先累及肠 In the recent 10 years, the proposed bacterial translocation has brought people’s re-understanding of intestinal physiological functions. It is noticed that the gastrointestinal tract is not only an organ that digests and absorbs nutrients, but also plays an important role in metabolism and immunomodulation. Especially in trauma, infection and other stress conditions, the gut is not “resting” but actively involved in the stress response, Wilmore said the gut is the central organ of surgical stress response. Excessive body stress or disorder can be involved in the first intestine