Sepsis: Update in the Management
Sepsis: Update in the Management
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DOI：
10.1053/j.ackd.2012.10.013
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发表时间：
2013-01-01
影响因子：
2.9
通讯作者：
Kellum, John A.
中科院分区：
文献类型：
--
作者：
Venkataraman, Ramesh;Kellum, John A.
败血症和感染性休克是几个学科和亚专业之间重叠的综合征。新出现的证据表明，脓毒症可能与短期和长期的不良后果有关，即使综合征看起来并不严重，也不在重症监护病房进行治疗。因此，所有执业的临床医生都需要熟悉脓毒症的诊断和处理的基本原则。本文综述了脓毒症/感染性休克治疗中的关键环节，包括早期识别、早期复苏、抗生素治疗原则、器官支持和辅助治疗的作用。(C)2013，由国家肾脏基金会，Inc.保留所有权利。
Sepsis and septic shock are syndromes that overlap between several disciplines and subspecialties. Emerging evidence suggests that sepsis may be associated with short- and long-term adverse outcomes, even when the syndrome does not appear to be severe and is not managed in the intensive care unit. Hence, all practicing clinicians need to be familiar with the fundamental principles of diagnosis and management of sepsis. In this review, we have summarized the key components in the management of sepsis/septic shock, including early recognition, early resuscitation, principles of antibiotic therapy, organ support, and role of adjunctive therapies. (C) 2013 by the National Kidney Foundation, Inc. All rights reserved.