中国脓毒症/脓毒性休克急诊治疗指南(2018)

被引:696
作者
曹钰
柴艳芬
邓颖
方邦江
刘明华
卢中秋
陆一鸣
聂时南
钱传云
田英平
杨立山
姚咏明
尹文
于学忠
张新超
赵敏
赵晓东
周荣斌
朱华栋
朱曦
曾红科
机构
[1] 中国医师协会急诊医师分会
[2] 中国研究型医院学会休克与脓毒症专业委员会
[3] 中国人民解放军总医院第一附属医院创伤研究中心
[4] 北京协和医院急诊科
[5] 中国人民解放军陆军总医院急诊科
关键词
脓毒症; 推荐意见; 脓毒性休克; 液体复苏; 急诊治疗;
D O I
10.13201/j.issn.1009-5918.2018.09.001
中图分类号
R459.7 [急症、急救处理];
学科分类号
100218 ;
摘要
<正>脓毒症和脓毒性休克是急危重症医学面临的重要临床问题,全球每年脓毒症患病人数超过1 900万,其中有600万患者死亡,病死率超过1/4,存活的患者中约有300万人存在认知功能障碍[1-3]。早期识别与恰当处理可改善脓毒症患者的预后。近年来,国内外对脓毒症领域的研究不断深入,临床实践及证据不断增加,2016年美国重症医学会(SCCM)与欧洲重症医学会(ESICM)联合发布脓毒症3.0定义及诊断标准,新定义的出现及临床证据的积累都会对临床决策产生重要影响。为了更好地指导
引用
收藏
页码:567 / 588
页数:22
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