严重脓毒症患者的容量负荷判断

Assessment of volume load in patients with severe sepsis

液体复苏一直是严重脓毒症患者治疗中的最基本、最重要原则。及时准确的容量评估是液体复苏治疗的关键。近年来，随着各种血流动力学监测技术的发展和各种容量反应性评估方法在临床中的广泛应用，以及对容量评估指标理解的不断深入，严重脓毒症患者容量评估及液体复苏的理论和实践都得到了进一步完善和提高。

Fluid resuscitation has been the most fundamental and important principle in the treatment of patients with severe sepsis. Timely and accurate volume assessment is the key to the treatment of fluid resuscitation. In recent years, with various hemodynamic monitoring technology development and volume responsiveness methods widely used in clinical, as well as parameters of volume status to understand in depth, the theory and practice in the field of volume assessment and fluid resuscitation in patients with severe sepsis have been further improved and enhanced.