腹腔感染诊治新理念:共识与争议

New concept of diagnosis and treatment of intra-abdominal infections:consensus and controversies

腹腔感染(IAIs)发病率逐年上升,越来越受到临床医师的重视。复杂腹腔感染、术后腹腔感染、腹腔真菌感染及腹腔脓毒症是临床最为棘手难题,如何早期识别、处理对于提升此类疾病总体治愈率至关重要。早期快速诊断、疾病正确分类是评估病情危重程度的关键,有效的感染源控制是治疗腹腔感染的核心,对于合并器官功能障碍的腹腔感染,需要建立外科主导下的腹腔感染多学科综合治疗协作组(MDT),更有效、准确地把控病情、制定方案及完成治疗,提高腹腔感染的救治成功率。

The incidence of intra-abdominal infections(IAIs)is increasing theses years which receives more and more attention in the clinic.Especially the complicated IAIs,post-operative IAIs,intra-abdominal candidiasis and abdominal sepsis get an unacceptably high mortality,which is the most difficult and dispirited for the clinicians.How to recognize these IAIs and implement adequate treatment in the early time are the keys to improve the prognosis.Early diagnosis and accurate classification are the keys to assess the severity.Effectiveinfection source control is the core of treatment.For the IAIs accompany with organ dysfunction,surgeon-predominant IAIs multiple disciplinary team(MDT)should be establish to improve the diagnosis and treatment of IAIs.