华西医学

华西医学

拯救脓毒症运动指南 2016 版热点解读

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拯救脓毒症运动指南 2016 版的发布是全球治疗脓毒症的进一步跨越。此次指南认可了脓毒症新定义。总体而言,新指南并未对原有指南的治疗原则作出重大改动,仅在具体操作细节上作出更简洁、更具依从性的修改。在临床实践中正确理解新版指南、根据实践合理运用指南是管理脓毒症,进行精准、有效治疗的关键。

The publication of the 2016 version of the Surviving Sepsis Campaign guidelines is a further step to the treatment of sepsis worldwide. This version of guidelines approves new definition of Sepsis-3. Overall, the new guidelines do not change the previous principle of treatment significantly. Some detailed and specific modifications have been made. Understanding and rational use of the new guidelines based on clinical practice, are the key to managing sepsis and performing accurate and effective treatment.

关键词: 脓毒症; 指南; 液体复苏; 感染

Key words: Sepsis; Guidelines; Fluid resuscitation; Infection

引用本文: 谢志超, 康焰. 拯救脓毒症运动指南 2016 版热点解读. 华西医学, 2018, 33(7): 835-837. doi: 10.7507/1002-0179.201806094 复制

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1. Rhodes A, Evans LE, Alhazzani W, et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016. Intensive Care Med, 2017, 45(3): 304-377.
2. Singer M, Deutschman CS, Seymour CW, et al. The third international consensus definitions for sepsis and septic shock (Sepsis-3) JAMA, 2016, 315(8): 801-810.
3. 谢志超, 康焰. 反方观点-全身性感染新定义: 不利于早期识别和早期治疗. 中华重症医学电子杂志, 2016, 2(3): 180-183.
4. Rivers E, Nguyen B, Havstad S, et al. Early goal-directed therapy in the treatment of severe sepsis and septic shock N Engl J Med, 2001, 345(19): 1368-1377.
5. Dellinger RP, Levy MM, Rhodes A, et al. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Intensive Care Med, 2013, 41(2): 580-637.
6. ProCESS Investigators, Yealy DM, Kellum JA, et al. A randomized trial of protocol-based care for early septic shock. N Engl J Med, 2014, 370(18): 1683-1693.
7. ARISE Investigators, ANZICS Clinical Trials Group, Peake SL, et al. Goal-directed resuscitation for patients with early septic shock. N Engl J Med, 2014, 371(16): 1496-1506.
8. Mouncey PR, Osborn TM, Power G, et al. Trial of early, goal-directed resuscitation for septic shock. N Engl J Med, 2015, 372(14): 1301-1311.
9. 廖雪莲, 谢志超, 康焰. 拯救脓毒症新理念: 从现象到本质. 四川大学学报: 医学版, 2016, 47(4): 570-573, 446.