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感染性休克的管理

Management of septic shock.

作者信息

Edwards J D

机构信息

University Hospital of South Manchester.

出版信息

BMJ. 1993 Jun 19;306(6893):1661-4. doi: 10.1136/bmj.306.6893.1661.

DOI:10.1136/bmj.306.6893.1661
PMID:8324438
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1678064/
Abstract

There have been important advances in the resuscitation of patients in septic shock in recent years. Survival can be improved by earlier recognition and therefore eradication of the sepsis combined with logical supportive measures. As with any acutely ill patient consultation with intensive care unit staff may be useful. Consultation with the intensive care unit does not necessarily imply the need for admission and mechanical ventilation; helpful advice may be forthcoming. Equally, referral to the intensive care unit does not mean an admission of failure but merely a recognition that additional skills and technical facilities are necessary for the patient's survival.

摘要

近年来,脓毒性休克患者的复苏取得了重要进展。通过更早的识别进而根除脓毒症,并结合合理的支持措施,可以提高生存率。与任何急重症患者一样,咨询重症监护病房的工作人员可能会有所帮助。咨询重症监护病房并不一定意味着需要入院和进行机械通气;可能会得到有用的建议。同样,转诊至重症监护病房并不意味着承认治疗失败,而仅仅是认识到患者的生存需要额外的技能和技术设施。

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本文引用的文献

1
Gram-negative bacteremia. IV. Re-evaluation of clinical features and treatment in 612 patients.革兰氏阴性菌血症。四、612例患者临床特征与治疗的重新评估
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Sequential cardiorespiratory patterns in septic shock.脓毒性休克中的序贯心肺模式。
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Haemodynamic studies in shock associated with infection.感染相关性休克的血流动力学研究
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A reappraisal of norepinephrine therapy in human septic shock.对去甲肾上腺素治疗人类感染性休克的重新评估。
Crit Care Med. 1987 Feb;15(2):134-7. doi: 10.1097/00003246-198702000-00011.
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Hemodynamic and oxygen transport effects of dobutamine in critically ill general surgical patients.
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10
Danger of using core/peripheral temperature gradient as a guide to therapy in shock.将核心/外周温度梯度用作休克治疗指导的风险。
Crit Care Med. 1987 Sep;15(9):850-2. doi: 10.1097/00003246-198709000-00010.