严重脓毒症和感染性休克教程.pptVIP

Severe Sepsis Septic Shock ;What is Shock?;INTRODUCTION;Classification of Shock;Causes of Shock;Causes of Shock;Causes of Shock;Causes of Shock;DEFINITIONS;;与脓毒血症相关的几个概念;脓毒血症（Sepsis）是指感染所引起的SIRS。 ; 严重感染（Severe sepsis）伴有器官功能障碍、组织灌注不良或低血压的Sepsis。 ;感染性休克（Septic shock）为Severe sepsis的一个亚型，是指虽然进行了充分的液体复苏治疗，但仍然存在持续的低血压和组织灌注下降。;多器官功能障碍综合征（MODS） 指严重创伤、休克和感染等过程中,短时间内同时或相继出现了两个或两个以上的系统、器官功能损害和障碍。;;Severe Sepsis: Primary Source; Microbiology of Sepsis;Severe Sepsis: Scope of the Problem;Comparison With Other Major Diseases;;;EPIDEMIOLOGY;EPIDEMIOLOGY;EPIDEMIOLOGY;EPIDEMIOLOGY;PATHOPHYSIOLOGY;PATHOPHYSIOLOGY;PATHOPHYSIOLOGY;SIRS/MODS;PATHOPHYSIOLOGY;PATHOPHYSIOLOGY;PATHOPHYSIOLOGY;Clinical Manifestations;Clinical Manifestations.;Clinical Manifestations.;Clinical Manifestations.;CLINICAL FEATURES;CLINICAL FEATURES;CLINICAL FEATURES;CLINICAL FEATURES;CHEST RADIOGRAPH;CHEST RADIOGRAPH;CLINICAL FEATURES;CLINICAL FEATURES;;CLINICAL FEATURES;CLINICAL FEATURES;CLINICAL FEATURES;CLINICAL FEATURES;CLINICAL FEATURES;CLINICAL FEATURES;CLINICAL FEATURES;Diagnosis;Diagnosis of Septic Shock;RECOGNITION OF SHOCK;Clinical Presentation Generalized Septic Shock;Clinical Presentation Generalized Septic Shock;Clinical Presentation Generalized Septic Shock;Treatment;MANAGEMENT;MANAGEMENT;MANAGEMENT;MANAGEMENT;MANAGEMENT;EVALUATION OF RESPONSE;Treatment of severe sepsis;Initial Resuscitation;Fluid Therapy;Antibiotics;inotropes;Steroids;Anti-coagulation;Blood Transfusion;Lung protection ventilator strategy;rhAPC(recombinant human activated protein C)重组人类活化蛋白C;Summary;FUTURE STRATEGIES FOR SEPSIS