感染性休克复苏液体的选择和指导液体治疗的监测指标

感染性休克被2012年的脓毒症治疗指南定义为适当补液治疗仍未能纠正的持续性脓毒症引起的低血压。尽管随着医疗水平的飞速发展,不断完善诊断技术和治疗方法使感染性休克的预后及死亡率有所改善,但高达40%~50%的死亡率仍旧严重威胁着全球人类健康。因此,用于治疗感染性休克患者的液体复苏疗法,不仅本身有着举足轻重的地位,而伴随在整个液体治疗过程中的每一环节也十分重要。

Progress in fluid therapy of septic shock

2012 Sepsis Treatment Guidelines defined septic shock was hypotension caused by the sustained sepsis,.and it cannot be corrected through the appropriate rehydration treatment. Although, for the rapid development of medical level, both diagnostic technique and therapies make the prognosis of septic shock and mortality have improved , but the mortality is as high as 40%-50%and still a serious threat to global human health. Thus, the fluid resuscitation in the treatment of septic shock does not only play a vital role , but also matters greatly in the process of the whole fluid therapy process for every step.