感染性休克-曹勤斌.pptVIP

曾琴兵 主要内容 休克概述 感染性休克表现及诊断 2008年严重脓毒症与感染性休克治疗指南 感染性休克的集束治疗 休克概述 休克的概念 休克是机体由于各种病因引起有效循环血量锐减、组织灌注不足所导致的细胞代谢障碍和器官功能受损的综合征。 感染性休克表现及诊断 Sepsis is defined as infection plus systemic manifestations of infection Severe sepsis is defined as sepsis plus sepsis-induced organ dysfunction or tissue hypoperfusion. Septic shock is defined as sepsis induced hypotension persisting despite adequate fluid resuscitation. Sepsis induced hypotension is defined as a systolic blood pressure(SBP) of 90mm Hg or mean arterial pressure 70mm Hg or a SBP decrease 40 mm Hg or 2 SD below normal for a