急重症脓毒症及脓毒性休克患者液体治疗.pptx

脓毒症及脓毒性休克患者液体复苏;液体复苏很重要;临床常见的急症 病因不同，预后不同 阑尾穿孔 vs 急梗胆、急性出血性坏死性胰腺炎、急性肠系膜动脉栓塞 Surviving Sepsis Campaign 早期复苏，控制感染 血流动力学支持，联合治疗措施 支持治疗;;体液过丢失;容量不足的危害性;低血容量是引起MODS的主要原因;早期液体目标复苏：EGDT;EGDT;Serum lactate measured. Blood cultures obtained prior to antibiotic administration. Broad-spectrum antibiotics administered within 3 hours for ED admissions and 1 hour for non-ED ICU admissions.. In the event of hypotension and/or lactate 4mmol/L: Deliver a minimum of 20 ml/kg of crystalloid (or colloid equivalent) Apply vasopressors for hypotension not responding to initial fluid resuscitation to maintain mean