Ellenbogen C
Am Fam Physician. 1982 Feb;25(2):163-7.
Septic shock is an emergency that is best treated by establishing priorities beforehand. The first priority is early recognition. The earliest recognizable clinical presentation is fever and hyperventilation. The second priority is augmenting normal compensatory mechanisms by intravenous infusion of crystalloid, with measurement of the response so that vasoactive drugs can be instituted as needed. The third priority is selected antibiotic therapy and drainage of pus. The fourth is corticosteroid therapy if the patient's response has been suboptimal.
感染性休克是一种紧急情况,最好事先确定治疗重点来进行处理。首要重点是早期识别。最早可识别的临床表现是发热和通气过度。第二个重点是通过静脉输注晶体液增强正常的代偿机制,并测量反应情况,以便根据需要使用血管活性药物。第三个重点是选择抗生素治疗和脓液引流。第四个重点是如果患者反应欠佳则进行皮质类固醇治疗。