Kleinpell Ruth M, Graves Brian T, Ackerman Michael H
Rush University College of Nursing, Chicago, IL 60612, USA.
AACN Adv Crit Care. 2006 Oct-Dec;17(4):385-93. doi: 10.4037/15597768-2006-4005.
Sepsis is a complex condition that occurs as a result of the systemic manifestation of infection. It is associated with high morbidity and mortality risks for critically ill patients. Assessment and monitoring aimed at early recognition and treatment, on the basis of evidence-based guidelines, are advocated for optimizing outcomes for patients with severe sepsis. Awareness of the risk factors, clinical signs and symptoms, pathophysiology, and updates in the management of sepsis can enhance the nursing care for patients with severe sepsis to promote best practices for sepsis care in the intensive care unit. This article reviews the incidence and pathophysiology of sepsis, highlighting updates in treatment and implications for nursing care.
脓毒症是一种由于感染的全身表现而发生的复杂病症。它与重症患者的高发病率和高死亡率风险相关。提倡基于循证指南进行旨在早期识别和治疗的评估与监测，以优化重症脓毒症患者的治疗结果。了解脓毒症的风险因素、临床体征和症状、病理生理学以及脓毒症管理方面的最新进展，可加强对重症脓毒症患者的护理，以促进重症监护病房脓毒症护理的最佳实践。本文综述了脓毒症的发病率和病理生理学，重点介绍了治疗方面的最新进展及其对护理的影响。
