Rangel-Frausto M S
Hospital Epidemiology Research Unit, National Medical Center, Mexico City, Mexico.
Infect Dis Clin North Am. 1999 Jun;13(2):299-312, vii. doi: 10.1016/s0891-5520(05)70076-3.
As a result of better understanding of pathogenesis, new definitions of sepsis have been proposed, and the complexity of this syndrome is clearer. Population-based studies of bloodstream infections--what now is called sepsis--have helped us to understand the natural history of this very frequent problem. The mortality and morbidity of each of the systemic inflammatory response syndrome stages have been described; our ability to better understand and predict these stages will help us to make better therapeutic decisions.
由于对发病机制有了更深入的了解,脓毒症的新定义已被提出,且这种综合征的复杂性也更加明晰。基于人群的血流感染(即现在所说的脓毒症)研究,有助于我们了解这一常见问题的自然病程。系统性炎症反应综合征各阶段的死亡率和发病率均已得到描述;我们更好地理解和预测这些阶段的能力,将有助于我们做出更优的治疗决策。