Maier S, Traeger T, Westerholt A, Heidecke C-D
Klinik und Poliklinik für Chirurgie, Ernst-Moritz-Arndt-Universität Greifswald.
Chirurg. 2005 Sep;76(9):829-36. doi: 10.1007/s00104-005-1066-2.
Abdominal sepsis remains a major cause of perioperative morbidity and mortality in surgical intensive care units. It must be considered a life-threatening condition and requires multidisciplinary coordination of intensive care. Apart from the local abdominal infection (peritonitis), abdominal sepsis is defined by extraperitoneal systemic reactions potentially leading to septic shock and death in the further course. Early and radical focus sanitation as well as aggressive systemic antimicrobial therapy remain the causal therapy strategies of abdominal sepsis.
腹部脓毒症仍然是外科重症监护病房围手术期发病和死亡的主要原因。它必须被视为一种危及生命的病症,需要重症监护的多学科协调。除了局部腹部感染(腹膜炎)外,腹部脓毒症的定义是腹膜外全身反应,可能在后续病程中导致感染性休克和死亡。早期彻底的病灶清除以及积极的全身抗菌治疗仍然是腹部脓毒症的病因治疗策略。