Schildberg F W, Inthorn D
Chirurgische Klinik und Poliklinik, Klinikum Grosshadern, Ludwig-Maximilians-Universität, München.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:275-82.
Intensive care is one tool of medicine. Resuscitation, treatment of organ failure, maintenance of homeostasis and prophylaxis of postoperative complications are it's duties. Over the last three decades the results of critical care medicine have significantly improved and the mortality rate has been halved. Not only the better understanding of development and significance of multiple organ failure, but also the re-evaluation of the role of age and co-morbidity have contributed to this improvement. Also, increased experience and competence of the physician, as well as a growing knowledge of systemic inflammatory response syndrome (SIRS) and the sepsis syndrome have promoted this progress. Hemofiltration is a novel method of neutralizing sepsis-related mediators and cytokines from the circulation.
重症监护是医学的一种手段。复苏、器官衰竭治疗、内环境稳态维持及术后并发症预防是其职责。在过去三十年里，危重病医学的成果有了显著改善，死亡率减半。不仅对多器官衰竭的发生发展及重要性有了更好的理解，而且对年龄和合并症作用的重新评估也促成了这一改善。此外，医生经验和能力的提高，以及对全身炎症反应综合征（SIRS）和脓毒症综合征认识的不断增加也推动了这一进展。血液滤过是一种从循环中中和脓毒症相关介质和细胞因子的新方法。
