Parfitt Sheryl E, Bogat Mary L, Hering Sandra L, Ottley Charlotte, Roth Cheryl
Sheryl E. Parfitt is a Clinical Educator, HonorHealth Scottsdale Shea Medical Center, Scottsdale, AZ. The author can be reached via e-mail at
MCN Am J Matern Child Nurs. 2017 Jul/Aug;42(4):199-205. doi: 10.1097/NMC.0000000000000340.
Morbidity and mortality associated with sepsis has gained widespread attention on a local, state, and national level, yet, it remains a complicated disorder that can be difficult to identify in a timely manner. Sepsis in obstetric patients further complicates the diagnosis as alterations in physiology related to pregnancy can mask sepsis indicators normally seen in the general population. If early signs of sepsis go unrecognized, septic shock can develop, leading to organ dysfunction and potential death. Maternal early warning tools have been designed to assist clinicians in recognizing early indications of illness. Through use of clinical pathway-specific tools, disease processes may be detected early, subsequently benefitting patients with aggressive treatment management and intervention.This article is the second in a series of three that discuss the importance of sepsis and septic shock in pregnancy. Risk factors, causes of sepsis, signs and symptoms, and maternal early warning tools are discussed.
脓毒症相关的发病率和死亡率在地方、州和国家层面都受到了广泛关注，然而，它仍然是一种复杂的病症，可能难以及时识别。产科患者的脓毒症使诊断更加复杂，因为与妊娠相关的生理变化可能掩盖一般人群中常见的脓毒症指标。如果脓毒症的早期迹象未被识别，可能会发展为感染性休克，导致器官功能障碍和潜在死亡。孕产妇早期预警工具旨在帮助临床医生识别疾病的早期迹象。通过使用针对临床路径的工具，可以早期检测疾病过程，从而使积极的治疗管理和干预使患者受益。本文是三篇系列文章中的第二篇，讨论脓毒症和感染性休克在妊娠中的重要性。文中讨论了风险因素、脓毒症的病因、体征和症状以及孕产妇早期预警工具。
