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脓毒症的新定义(脓毒症-3)——目标、优势及争议

A new definition of sepsis (Sepsis-3) - aims, advantages, and controversies.

作者信息

Máca J, Sklienka P, Reimer P, Holub M

出版信息

Epidemiol Mikrobiol Imunol. 2018 Spring;67(1):36-43.

Abstract

Sepsis is a life-threatening condition caused by a dysregulated host response to infection. Over the last decades, the approach to sepsis is evolving dramatically, mainly as a result of a rapid increase in the knowledge of its epidemiology, physiopathology, and management. In this context, the new international criteria and definition for sepsis, The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3), were introduced in 2016. The criteria were established consensually by the Task Force which consisted of experts from the Society of Critical Care Medicine and the European Society of Intensive Care Medicine. The main goal is the expansion of awareness of the professional public about this medical condition with a high fatality rate, particularly when not diagnosed and treated early. Sepsis-3 should also serve as a benchmark for future preclinical and clinical research, development of new diagnostic methods, and the terapy of patients with sepsis and septic shock.

摘要

脓毒症是一种由宿主对感染的反应失调引起的危及生命的病症。在过去几十年中,脓毒症的治疗方法正在发生巨大变化,这主要是由于对其流行病学、生理病理学和管理的认识迅速增加。在此背景下,2016年引入了新的脓毒症国际标准和定义,即《脓毒症和脓毒性休克第三次国际共识定义》(Sepsis-3)。这些标准是由一个特别工作组经协商一致制定的,该工作组由危重病医学会和欧洲重症监护医学会的专家组成。主要目标是提高专业人士对这种死亡率高的病症的认识,特别是在未早期诊断和治疗的情况下。Sepsis-3还应作为未来临床前和临床研究、新诊断方法开发以及脓毒症和脓毒性休克患者治疗的基准。

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