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中华重症医学电子杂志 ›› 2023, Vol. 09 ›› Issue (01) : 14 -18. doi: 10.3877/cma.j.issn.2096-1537.2023.01.003

所属专题: 指南共识

述评

2021版拯救脓毒症运动指南:早期复苏的八大“陷阱”
吴宗盛1, 谢剑锋1,(), 邱海波1,()   
  1. 1. 210009 南京,江苏省重症医学重点实验室 东南大学附属中大医院重症医学科
  • 收稿日期:2022-08-30 出版日期:2023-02-28
  • 通信作者: 谢剑锋, 邱海波
  • 基金资助:
    国家自然科学基金重点项目(81930058); 国家自然科学基金面上项目(82072155); 国家自然科学基金青年项目(82002091); 国家重点研发计划项目(2021YFC2500804)

Surviving sepsis campaign guidelines 2021: “eight pitfalls” in early resuscitation

Zongsheng Wu1, Jianfeng Xie1,(), Haibo Qiu1,()   

  1. 1. Jiangsu Provincial Key Laboratory of Critical Care Medicine, Department of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing 210009, China
  • Received:2022-08-30 Published:2023-02-28
  • Corresponding author: Jianfeng Xie, Haibo Qiu
引用本文:

吴宗盛, 谢剑锋, 邱海波. 2021版拯救脓毒症运动指南:早期复苏的八大“陷阱”[J]. 中华重症医学电子杂志, 2023, 09(01): 14-18.

Zongsheng Wu, Jianfeng Xie, Haibo Qiu. Surviving sepsis campaign guidelines 2021: “eight pitfalls” in early resuscitation[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2023, 09(01): 14-18.

拯救脓毒症运动(SSC)指南自2004年首次发布至今已更新5版。SSC指南不断推动人们对脓毒症的认知,并在一定程度上提升了对脓毒症的救治水平,是当前指导脓毒症临床诊疗的重要依据。然而,新版指南在脓毒症休克的早期复苏方面仍存有明显不足,相关建议易被误读误用。本文就2021版SSC指南的八个“陷阱”及相关循证医学证据做一评述。

The surviving sepsis campaign (SSC) guidelines has been updated five editions nowadays since it first published in 2004. SSC guidelines promote knowledge about sepsis constantly, which also improve management of sepsis to a certain extent, and become an important basis for guiding diagnosis and therapy in patients with sepsis. However, there are still several obvious defects in early resuscitation of septic shock in the SSC guidelines 2021, and the relevant recommendations may lead to misinterpretation or misuse. Therefore, "eight pitfalls" and relevant clinical evidence in SSC guidelines 2021 are discussed in present commentary.

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