Padilla Cesar, Palanisamy Arvind
Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Clin Obstet Gynecol. 2017 Jun;60(2):418-424. doi: 10.1097/GRF.0000000000000269.
Maternal sepsis is now a leading cause of direct maternal death during pregnancy. This review addresses the latest advances in the identification and management of critically ill parturients. Specifically, this review will focus on the vulnerability of pregnant women to sepsis, the utility of early warning criteria in the identification of the septic parturient, emphasize the immediate antibiotic management of suspected sepsis, and elaborate upon the latest understanding in the ventilatory management of parturients with sepsis.
孕产妇脓毒症现已成为孕期孕产妇直接死亡的主要原因。本综述阐述了危重症产妇识别与管理方面的最新进展。具体而言,本综述将聚焦于孕妇对脓毒症的易感性、早期预警标准在识别脓毒症产妇中的作用,强调对疑似脓毒症的即时抗生素治疗,并详细阐述脓毒症产妇通气管理的最新认识。