脓毒症诊断生物标志物和诊断方法的临床应用

被引:10
作者
周增丁
郇京宁
机构
[1] 上海交通大学附属瑞金医院烧伤整形外科
关键词
D O I
暂无
中图分类号
R459.7 [急症、急救处理];
学科分类号
100231 [临床病理学];
摘要
<正>脓毒症是创伤、烧伤等疾病的严重并发症。随着对脓毒症病理生理学认识不断深入,临床上诸如积极抗感染、充分液体复苏及全身重要脏器保护等治疗措施也逐步完善。但是,严重脓毒症或脓毒症休克的病死率依然很高。因此,尽可能早期识别和确诊脓毒症,把握"黄金时间"并启动有效干预手段,开展针对脓毒症的早期目标导向治疗,能够明显改善患者预后,降低病死率。传统诊断指标如体温测量、白细胞计数及红细胞沉降率检测等在敏感度和特异度方面均难以实现对脓毒症的早期识别与诊断,也不能判断病情严重
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