Bloomsbury Institute of Intensive Care Medicine, University College London, London, UK.
Clin Med (Lond). 2018 Feb;18(1):62-68. doi: 10.7861/clinmedicine.18-1-62.
Sepsis is a common and often devastating medical emergency with a high mortality rate and, in many survivors, long-term morbidity. It is defined as the dysregulated host response to infection resulting in organ dysfunction, and its incidence is increasing as the population ages. However, it is a treatable and potentially reversible condition, especially if identified and treated promptly. A sound understanding of sepsis is crucial for optimal care. Although general guidelines are available for management, here we provide a foundation of understanding to encourage thoughtful, personalised management of sepsis during the acute phase. We provide an overview of the epidemiology, the new Sepsis-3 definitions, pathophysiology, clinical presentations, and investigation and management of sepsis for the non-expert.
脓毒症是一种常见且经常危及生命的医疗急症,死亡率很高,许多幸存者还会出现长期的发病。它被定义为宿主对感染的失调反应,导致器官功能障碍,随着人口老龄化,其发病率正在上升。然而,它是一种可治疗且可能逆转的疾病,尤其是如果能及时发现并治疗。对脓毒症有一个正确的理解对提供最佳护理至关重要。虽然有管理的一般指南,但在这里,我们提供一个理解的基础,以鼓励在急性阶段对脓毒症进行深思熟虑的、个性化的管理。我们为非专业人士概述了脓毒症的流行病学、新的 Sepsis-3 定义、病理生理学、临床表现以及脓毒症的检查和治疗。