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中华重症医学电子杂志 ›› 2018, Vol. 04 ›› Issue (04) : 299 -303. doi: 10.3877/cma.j.issn.2096-1537.2018.04.001

所属专题: 重症医学 文献

专家论坛

脓毒症治疗新进展
刘辉1, 冯永文2, 姚咏明3,()   
  1. 1. 100853 北京,解放军总医院重症医学科
    2. 518035 深圳市第二人民医院重症医学科
    3. 100048 北京,解放军总医院第一附属医院创伤研究中心
  • 收稿日期:2017-11-10 出版日期:2018-11-28
  • 通信作者: 姚咏明
  • 基金资助:
    国家自然科学基金重点项目(81730057,81130035); 海南省自然科学基金(814327)

Update in the management of sepsis

Hui Liu1, Yongwen Feng2, Yongming Yao3,()   

  1. 1. Department of Critical Care Medicine, the Chinese PLA General Hospital, Beijing 100853, China
    2. Intensive Care Unit, Second People′s Hospital of Shenzhen, Shenzhen 518035, China
    3. Trauma Research Center, First Hospital Affiliated to the Chinese PLA General Hospital, Beijing 100048, China
  • Received:2017-11-10 Published:2018-11-28
  • Corresponding author: Yongming Yao
  • About author:
    Corresponding author: Yao Yongming, Email:
引用本文:

刘辉, 冯永文, 姚咏明. 脓毒症治疗新进展[J/OL]. 中华重症医学电子杂志, 2018, 04(04): 299-303.

Hui Liu, Yongwen Feng, Yongming Yao. Update in the management of sepsis[J/OL]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2018, 04(04): 299-303.

自1991年首次定义脓毒症以来,对于脓毒症的认知已经历了3次较大的进展,目前已进入脓毒症3.0时代。关于脓毒症的治疗在许多方面仍在不断进步。首先救治理念的进步优化了脓毒症救治;其次,以大数据和重症超声检查为代表的分析及监测手段的进步为脓毒症治疗和科学研究提供了更为有效的支撑;再者,体外人工膜肺、人工肝肾等器官支持手段仍在继续发展,早期康复理念的提出增强了人们对于危重脓毒症患者远期病死率的关注。期待在不远的将来,脓毒症患者的预后在不同领域医学专家的协作下得到较大的改善。

Since the sepsis was initially defined in 1991, the recognition of sepsis has undergone three major improvements, and now it has entered the era of sepsis 3.0. The management of sepsis is processing in many aspects. Firstly, the concept of treatment optimizes the sepsis management; secondly, the progress of analysis and monitoring represented by big data and critical ultrasound provides more effective support for sepsis management and research; thirdly, extracorporeal membrane oxygenation and liver and kidney artificial support are still developing. The concept of early rehabilitation has increased concern about the long-term mortality of patients with sepsis. It is our belief that the prognosis and therapy of sepsis might improve significantly with successfully collaborating of medical professional from different fields in the near future.

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