脓毒症并脓毒症休克指南2012解决方案.pptx

脓毒症和脓毒症休克 宁医大总院急诊科 脓毒症定义 脓毒症即 ( 可能或已有的) 感染引起的全身炎症反应。严重脓毒症即为脓毒症伴其导致的器官功能障碍或组织灌注不足。 Sepsis is defined as the presence (probable or documented) of infection together with systemic manifestations of infection.Severe sepsis is defined as sepsis plus sepsis-induced organ dysfunction or tissue hypoperfusion. 脓毒症的概念 脓毒症（Sepsis） 感染 + 全身炎症反应综合征 严重脓毒症(Severe Sepsis) 脓毒症 + 急性器官功能不全 脓毒性休克（Septic shock） 脓毒症 + 液体复苏难以纠正的休克 脓毒症的发病率及病死率 ?National Center for Health Statistics, 2001. American Cancer Society, 2001. *American Heart Association. 2000. Angus DC et al. Crit Care Med. 2001. AIDS* Colon Breast Cancer