[脓毒症——如何识别以及关注重点——基于新定义回归基础]

[Sepsis - how to recognize and what to focus on - back to basics in the light of the new definition].

作者信息

Horák Jan, Harazim Martin, Karvunidis Thomas, Raděj Jaroslav, Novák Ivan, Matějovič Martin

出版信息

Vnitr Lek. 2016 Fall;62(7-8):568-74.

Abstract

UNLABELLED

Sepsis is the primary cause of death from infection. However, its early recognition remains a fundamental challenge in clinical practice. In February 2016, a newly revised sepsis definition has been published (SEPSIS-3). Sepsis has been redefined as life-threatening organ dysfunction caused by a dysregulated host response to infection. In this article, we introduce the updated definition of sepsis, discuss its pros and cons and suggest practical implications. The emphasis is put on basic and comprehensive clinical assessment.

KEY WORDS

definition - early recognition of sepsis - infection - sepsis - septic shock.

摘要

未标注

脓毒症是感染导致死亡的主要原因。然而，其早期识别在临床实践中仍然是一项根本性挑战。2016年2月，一个新修订的脓毒症定义（脓毒症-3）已发布。脓毒症被重新定义为由宿主对感染的失调反应所导致的危及生命的器官功能障碍。在本文中，我们介绍脓毒症的更新定义，讨论其优缺点并提出实际意义。重点在于基础且全面的临床评估。