Morrell Matthew R, Micek Scott T, Kollef Marin H
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Washington University School of Medicine, Barnes-Jewish Hospital, 660 South Euclid Avenue, Campus Box 8052, St. Louis, MO 63110, USA.
Infect Dis Clin North Am. 2009 Sep;23(3):485-501. doi: 10.1016/j.idc.2009.04.002.
The diagnosis and management of severe sepsis and septic shock is a complex and dynamic process. Newer evidence-based interventions are constantly being developed and implemented with the purpose of improving morbidity and mortality. Current investigations are being performed in hospital environments to determine the change in behaviors and clinical impact with the most recent recommendations. The use of standardized treatment protocols in addition to newer diagnostic and treatment modalities in patients who have severe sepsis and septic shock can continue to improve patient-related outcomes and the damaging effect of these diseases on society.
严重脓毒症和脓毒性休克的诊断与管理是一个复杂且动态的过程。为了降低发病率和死亡率,基于最新证据的新型干预措施不断被研发和应用。目前正在医院环境中开展研究,以确定最新建议对行为的改变及其临床影响。除了采用新型诊断和治疗方式外,对严重脓毒症和脓毒性休克患者使用标准化治疗方案,可继续改善与患者相关的结局以及这些疾病对社会造成的破坏影响。