Department of Intensive Care, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, Copenhagen DK-2100, Denmark.
Department of Intensive Care, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, Copenhagen DK-2100, Denmark.
Crit Care Clin. 2018 Jan;34(1):127-138. doi: 10.1016/j.ccc.2017.08.009. Epub 2017 Oct 5.
Sepsis results in many deaths, prolonged suffering among survivors and relatives, and high use of resources both in developed and developing countries. The updated Surviving Sepsis Campaign guidelines should aid clinicians in improving the identification and management of these patients, but many uncertainties remain because most of the guidance is based on low-quality evidence. This article discusses how to use some of the specific items of the guidelines together with a common-sense approach to aid clinical management of patients with sepsis while trying to balance the potential benefit and harm of the items.
败血症导致许多人死亡，幸存者及其亲属遭受长期痛苦，在发达国家和发展中国家都耗费了大量资源。更新后的《拯救脓毒症运动指南》应该有助于临床医生改善对这些患者的识别和管理，但仍存在许多不确定性，因为大部分指导意见都是基于低质量的证据。本文讨论了如何结合常识性方法使用指南中的一些具体项目，以帮助临床管理败血症患者，同时平衡这些项目的潜在益处和危害。
