Soto-Torres Fernando, Ruiz-Rodríguez Dorcas L
Departamento de Emergencias Medicas de la Escuela de Medicina de la Universidad Puerto Rico, Recinto de Ciencias Medicas, San Juan, Puerto Rico.
Bol Asoc Med P R. 2009 Jul-Sep;101(3):22-8.
Sepsis is a fairly common disease process in our population. Even with aggressive treatment, morbidity and mortality remain high. The initial evaluation of these patients with sepsis, severe sepsis and septic shock may increase survival. Understanding the pathophysiological process is an integral part of improving outcomes. Recent studies have shown that with the systematic use of aggressive fluid expansion, broad-spectrum antibiotics as well as inotropes and vasopressors a decrease in mortality may be achieved. Our efforts must be geared towards a structured early diagnosis and treatment. With the right tools and approach we will be able to keep ourselves ahead of this condition in order to improve the health of our fellow patients in Puerto Rico and the rest of the world.
脓毒症在我们的人群中是一种相当常见的疾病过程。即使进行积极治疗，发病率和死亡率仍然很高。对这些脓毒症、严重脓毒症和脓毒性休克患者进行早期评估可能会提高生存率。了解病理生理过程是改善治疗结果的一个组成部分。最近的研究表明，通过系统地积极进行液体复苏、使用广谱抗生素以及使用正性肌力药物和血管升压药，可以降低死亡率。我们必须致力于进行结构化的早期诊断和治疗。借助正确的工具和方法，我们将能够在这种疾病面前占据主动，从而改善波多黎各以及世界其他地区患者的健康状况。
