Edwards J D
University Hospital of South Manchester.
BMJ. 1993 Jun 19;306(6893):1661-4. doi: 10.1136/bmj.306.6893.1661.
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.
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。