脓毒性休克的诊治

Focus on diagnosis and treatment of septic shock

脓毒性休克是急诊和重症监护室最主要的收治病种之一,患者死亡率高,但脓毒性休克的诊治存在争议。本文就当前脓毒性休克的热点问题进行了归纳讨论和建议,主要包括现有脓毒症指南存在的问题,如何进行脓毒性休克的识别、复苏、抗感染治疗以及是否应用激素等,以期为临床实践提供更多参考。

Septic shock is one of the major diseases in emergency and intensive care units,with a high mortality rate.However,its diagnosis and treatment are controversial in many aspects.In this paper,we summarize,discuss,and make recommendations on the hottest issues in septic shock,including the problems existing in the current guidelines of sepsis,how to identify,resuscitate,and anti-infection strategy of septic shock,and how to consider the application of hormones,in order to provide more reference for clinical practice.