重症医学:基础到临床的艰难历程——从Sepsis 3.0说起

Critical care medicine: from bench to bedside by scoping sepsis 3.0

重症医学是研究任何损伤或疾病导致机体向死亡方向发展过程的特点和规律性并对重症进行治疗的学科。Sepsis和感染性休克是常见的、典型的临床重症。从Sepsis和感染性休克的定义和治疗的变迁,尤其是从诸如炎症反应综合征的定位、抗生素的合理应用和液体复苏的定量管理等方面,可以看出重症医学从基础到临床的艰难历程和不断发展。

Critical care medicine is such a medical specialty which discovers the characteristics and regularity of the the process of any injury or disease leading to the deathscientific researches and proceeds clinical treatment accordingly. Sepsis and septic shock are the common typical critical illnesses leading to death. The progress development of critical care medicine can be shown by the changes in definition and clinical management of sepsis and septic shock, especially by the reposition of systemic inflammatory response syndrome, antimicrobial usage, quantitative fluid resuscitation and so on.