老年脓毒症休克液体复苏的综合管理策略

Comprehensive administration strategies for fluid resuscitation in senile septic shock

老年脓毒症休克的发病率和死亡率随人口老龄化而显著上升。在临床实践中,液体复苏治疗对老年脓毒症休克的管理至关重要,但患者特殊的生理特点使得液体复苏充满挑战。尽管已有多种复苏策略被提出,但液体反应性评估、补液方式、补液速度等关键点在老年脓毒症休克患者中的最佳实践方法仍存在争议。本文就老年脓毒症休克液体应遵循的三个层次四个阶段的复苏综合管理策略作一评述,旨在为临床决策提供参考。

The incidence and mortality rates of sepsis shock in the elderly have significantly increased with population aging.ln clinical practice,fluid resuscitation therapy is crucial for the management of sepsis shock in the elderly;however,the unique physiologi cal characteristics of these patients make fluid resuscitation particularly challenging.Although various resuscitation strategies have been proposed,there is still controversy over the best practices for key points such as fluid responsiveness assessment.fluid administra tion methods,and infusion rates in elderly patients with sepsis shock.This article discussed the fluid resuscitation strategies for sepsis shock in the elderly,aiming to provide a reference for clinical decision-maKing.