脓毒症3．0在儿童脓毒症诊断的运用——我们还有很多工作要做

Sepsis-3-the use of sepsis in children： we still have a lot of work to do

脓毒症定义自1991年首次提出以来，定义主要内容由感染＋全身炎症反应综合征演变为感染＋器官功能障碍，而器官功能障碍通过序贯器官功能衰竭评估（sequential organ failure assessment，SOFA）评分的增加来表示。这一核心内容体现在2016年发布的脓毒症3．0中。在脓毒症3．0中SOFA评分在脓毒症的识别与诊断中具有突出地位，但该诊断标准主要是针对于成人，该诊断标准在儿童中如何应用，我们需要思考哪些问题，本文将对此进行探讨。

Since the definition of sepsis has been first proposed in 1991, the main content of the def- inition has been developed by infection ＋ systemic inflammatory response syndrome as infection ＋ organ dysfunction, and organ dysfunction is indicated by an increase in sequential organ failure assessment（SOFA） score. These are components of Sepsis-3 which was published in 2016. In Sepsis-3, the SOFA score in the identification and diagnosis of sepsis plays an important role,but Sepsis-3 was mainly used in adults, how to adjust it to children, some questions and details were proposed in this article.