摘要
脓毒性休克病情重,发展快,病死率高。早期识别监测脓毒性休克,抗生素的使用和液体复苏及正确合理的使用血管活性药物对脓毒性休克患者来说至关重要。本文将从脓毒性休克患者复苏液的选择、复苏的监测工具和血管活性药物的使用方面对脓毒性休克患者的复苏提供最新的观点。
Septic shock is a severe clinical emergency characterized by rapid progress and high mortality. Sensitive antibiotics, fluid resuscitation, proper and rational use of vasoactive drugs are very important for septic shock patients. In this review, we discuss the most recent findings about the resuscitation liquid, the monitoring tools for resuscitation and the use of vasoactive drugs to provide an up-to-date perspective on resuscitation in septic shock patients.
作者
张飞
李湘民
Zhang Fei;Li Xiangmin(Department of Emergency Medicine, Xiangya hospital, Central south university, Changsha, Chin)
关键词
脓毒性休克
液体复苏
晶体液
胶体液
复苏监测
血管活性药物
多巴胺
去甲肾上腺素
艾司洛尔
Septic shock
liquid resuscitation
crystal liquid
colloid solution
resuscitation monitoring
vasoactive drugs
dopamine
norepinephrine
esmolol