重症感染学术前沿和启示-.pdfVIP

重症感染学术前沿与启示 邱海波 东南大学附属中大医院重症医学科 东南大学医学院重症医学系 Sepsis流行病学 巨大改变与潜在的挑战 Severe Sepsis in Pre-Hospital Emergency Care Analysis of Incidence, Care, and Outcome • Retrospective study • 2000-2009 • Emergency medical services (EMS) • 407,176 EMS encounters • 13,249 hospitalizations for severe sepsis, 2,596 died in the hospital (19.6%) Angus, Am J Respir Crit Care Med 2012, 186, 1264–1271 Severe Sepsis in Pre-Hospital Emergency Care Analysis of Incidence, Care, and Outcome Solid circles: severe sepsis; gray triangles: AMI; gray squares: stroke. 十年来严重感染的发病率远远 超过急性心梗和脑卒中 严重感染：平均每年递增11.8% 急性心梗：平均每年降低2.7% 脑卒中： 平均每年递增2.9% Angus, Am J Respir Crit Care Med 2012, 186, 1264–1271 Severe Sepsis in Pre-Hospital Emergency Care Analysis of Incidence, Care, and Outcome Angus, Am J Respir Crit Care Med Vol 186, Iss. 12, pp 1264– SSC治疗指南 • Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock Crit Care Med. 2004 Mar;32(3):858-73. Intensive Care Med. 2004; 30:536-555. • Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2008. Crit Care Med 2008;36(1):296-327. Intensive Care Med 2008;34(1):17-60. • Surviving Sepsis Campaign: International guidelines for management of severe sepsis and septic shock: 2012.