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外科医生应提高对感染性休克的认识 被引量：3

Must improve the recognize on septic shock in surgeons
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摘要 休克的本质是组织的氧代谢障碍,因此休克诊断和治疗的着力点也应该以是否存在组织氧代谢障碍和其是否得到纠正为目的。早期目标指导治疗提示休克的早期治疗的重要性,集束化治疗对于规范临床治疗行为,提高治疗可行性和依从性,进而达到改善预后的目的无疑也是非常必要的。 The nature of shock is dysoxia. The diagnosis and treatment should focus on the dysoxia and its improvement. The early goal-directed therapy （EGDT） indicates the important of early treatment. Sepsis bundle is necessary for standardizing the clinical practice, increasing feasibility and compliance and improving prognosis.
作者 马晓春
机构地区 中国医科大学附属第一医院重症医学科
出处 《中国实用外科杂志》 CSCD 北大核心 2009年第12期969-970,共2页 Chinese Journal of Practical Surgery
关键词 感染性休克 早期诊断 EGDT 集柬化治疗 septic shock early diagnosis EGDT sepsis bundle
分类号 R6 [医药卫生—外科学]
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参考文献5

  • 1Antonelli M,Levy M,Andrews PJD,et al.Hemodynamic monitoring in shock and implications for management [J ].Intensive Care Med, 2007,33:575-590.
  • 2Rivers E, Nguyen B, Havstad S, et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock[J]. N Engl J Med, 2001, 345:1368-1377.
  • 3Rivers EP, Coba V, Whitmill M. Early goal-directed therapy in severe sepsis and septic shock: a contemporary review of the literature [ J ]. Curr Opin Anaesthesiol, 2008,21 (2): 158-140.
  • 4Wiedemann HP, Wheeler AP, Bernard GR,et al.Comparison of two fluid-management strategies in acute lung injury[J]. N Engl J Med, 2006,354(24):2564-2575.
  • 5Dellinger RP, Cadet JM, Masur H, et al. Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock [J ]. Intensive Care Med, 2004, 30: 536-555.

同被引文献22

  • 1严静.成人严重感染与感染性休克血流动力学监测与支持指南(2006)[J].中国实用外科杂志,2007,27(1):7-13. 被引量：132
  • 2韦军民.消化外科学:病理生理与治疗[M].北京:人民卫生出版社,2007:56-57.
  • 3Shao X J, Ohtani O, Saitoh M, et al. Developnent of diaphragmatic-lymphatics the process of their direct connection to the peritoneal cavity[J]. Arch Histol Cytol 1998, 61(2): 137-149.
  • 4Mulier S, Penninckx F, Verwaest C, et al. factors affecting mortality in generalized postoperative peritonitis: multivariate analysis in 96 patients[J]. World J Surg, 2003, 27(4): 379-384.
  • 5Rotondo H F, Schwab W, McGoniqel M D, et al. Damage control: Anapproach for improved survival in exsanguinating penetrating abdominal injury[J]. J Trauma, 1993, 35:375-383.
  • 6Antonelli M, Levy M, Andrews PJD, et al. Hemodynamic monitoring in shock and implications for management[ J ]. Intensive Care Med,2007,33:575-590.
  • 7Black S, Kushner I, Samols D. C-reactive Protein [ J ]. J Biol Chem, 2004,279 (48) :487-490.
  • 8Michal Kyr, Michal Fedora, Lubomir Elbl, et al. Modeling effect of the septic condition and trauma on C-reactive protein levels in children with sepsis : a retrospective study [ J ]. Critical Care,2007,11 ( 3 ) :70.
  • 9Remick DG. Interlcukin-8 [ J]. Crit Care Med,2005,33 ( 12 Suppl) : 466-467.
  • 10Heper Y, Akalin EH, Mistik R, et al. Evaluation of serum C-reactive pro- tein, procalcitonin, tumor necrosis factor alpha, and interleukin-10 levels as diagnostic and prognostic parameters in patients with community-ac- quired sepsis, severe sepsis, and septic shock [ J ]. Eur J chin Microbiol Infect Dis,2006,25(8) :481-491.

引证文献3

二级引证文献5

中国实用外科杂志
2009年 第12期

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