Macdonald Stephen Pj, Williams Julian M, Shetty Amith, Bellomo Rinaldo, Finfer Simon, Shapiro Nathan, Keijzers Gerben
Centre for Clinical Research in Emergency Medicine, Harry Perkins Institute of Medical Research, Perth, Western Australia, Australia.
Department of Emergency Medicine, Royal Perth Hospital, Perth, Western Australia, Australia.
Emerg Med Australas. 2017 Dec;29(6):619-625. doi: 10.1111/1742-6723.12886. Epub 2017 Nov 2.
Sepsis has recently been redefined as acute organ dysfunction due to infection. The ED plays a critical role in identifying patients with sepsis. This is challenging due to the heterogeneity of the syndrome, and the lack of an objective standard diagnostic test. While overall mortality rates from sepsis appear to be falling, there is an increasing burden of morbidity among survivors. This largely reflects the growing proportion of older patients with comorbid illnesses among those treated for sepsis.
脓毒症最近被重新定义为因感染导致的急性器官功能障碍。急诊科在识别脓毒症患者方面起着关键作用。由于该综合征的异质性以及缺乏客观的标准诊断测试，这一过程具有挑战性。虽然脓毒症的总体死亡率似乎在下降，但幸存者中的发病负担却在增加。这在很大程度上反映了脓毒症治疗患者中合并症老年患者比例的不断上升。
