Lebedeva R N, Bronskaia L K, Sheremet'eva G F, Bondarenko A V
Grudn Khir. 1989 May-Jun(3):50-3.
It was established that septic shock is a rare (0.2%) but the severest (5 of 6 patients died) complication in pulmonary surgery and is a consequence of the spread of postoperative wound infection or pyo-inflammatory process in the lung for which the operation was performed. The staphylococcus and nonfermentative Gram-negative bacteria prevail among the causative agents of septicemia. The most typical clinical signs of septic shock are acute circulatory insufficiency with rapid development of insufficiency of the function of the brain, kidneys, liver, and intestinal paresis in a febrile patient with a severe postoperative wound infection or in one operated on for a disseminated pyo-inflammatory disease in the lung. Precise determination of the indications for operation, careful preoperative treatment of the pyo-inflammatory processes, immediate establishment of the diagnosis, and timely removal of the localized focus of infection are important in preventing septic shock.
已确定脓毒性休克是肺手术中一种罕见（0.2%）但最严重的并发症（6例患者中有5例死亡），它是术后伤口感染或手术所针对的肺部脓性炎症过程扩散的结果。葡萄球菌和非发酵革兰氏阴性菌在败血症病原体中占主导。脓毒性休克最典型的临床症状是急性循环功能不全，在术后伤口严重感染的发热患者或因肺部弥漫性脓性炎症疾病接受手术的患者中，会迅速出现脑、肾、肝功能不全及肠麻痹。精确确定手术指征、对脓性炎症过程进行仔细的术前治疗、立即做出诊断以及及时清除局部感染灶，对于预防脓毒性休克至关重要。
