Brienza A, Brigiani G S, Giuliani R, Belpiede G, Fumarola D
Minerva Anestesiol. 1980 Sep;46(9):1033-46.
In order to identify a septic shock syndrome, the Limulus test (positive results in 10 cases out of 12) is preferable to hemoculture (positive in 9 cases out of 22), as a valid tool for a precocious diagnosis and to support both the clinical diagnosis and the precocious case finding of the septic conditions. According to the Authors, as far as intensive treatment is concerned, the simultaneous finding of the central venous pressure (CVP) and the lung capillary (LC) allows an accurate evaluation of the rate of cardiac impairment and the alterations to the distribution of blood volume in connection with treatment. The Authors have also reported the data related to the clinical course of illness and mortality rate (68%) in 21 cases of septic shock, as well as the hemodynamic parameters with the pertinent correlations (CVP-PAP-Pcp and Da-v) in 12 patients affected by septic shock from the very beginning and throughout the whole period of treatment.
为了识别脓毒性休克综合征，鲎试剂检测（12例中有10例结果为阳性）比血培养（22例中有9例阳性）更具优势，它是一种用于早期诊断以及支持脓毒症临床诊断和早期病例发现的有效工具。据作者称，就强化治疗而言，同时测定中心静脉压（CVP）和肺毛细血管（LC）可准确评估心脏损害程度以及与治疗相关的血容量分布变化。作者还报告了21例脓毒性休克患者的疾病临床过程和死亡率（68%）数据，以及12例从一开始就患有脓毒性休克并在整个治疗期间的血流动力学参数及其相关关系（CVP-PAP-Pcp和Da-v）。
