外科感染性休克常见病因与处理原则  

Common causes and management of septic shock in surgical practice

作　　者：赵刚[1] 吴志勇[1] 

机构地区：[1]上海交通大学医学院附属仁济医院普外科,上海200127

出　　处：《中国实用外科杂志》2009年第12期979-981,共3页Chinese Journal of Practical Surgery

摘　　要：感染性休克是外科多见和治疗较困难的一类休克,病死率高达50%。常见病因有急性梗阻性化脓性胆管炎、急性腹膜炎、绞窄性肠梗阻、急性重症胰腺炎、各种原因引起的脓肿、大面积烧伤等。加强围手术期处理,选择合适的手术时机,针对病因采取正确的手术方式,配合其他抗休克治疗是提高外科感染性休克抢救成功率的关键。手术以简单、有效为原则,贯彻"损伤控制"的理念,不强求彻底处理病灶的确定性手术。Septic shock is a common state in surgical practice and difficult to treat, with a high mortality of 50%. The common causes consist of acute obstructive suppurative cholangitis, acute peritonitis, strangulated intestinal obstruction, severe acute pancreatitis, extensive burn and abscess caused by a variety of reasons. The successful management of septic shock depends on effective perioperative treatment, appropriate timing of surgery, proper operation methods and a series of anti-shock treatment. ＂Damage control＂ should be considered throughout the therapeutic process to gain a simple and effective outcome. A thorough treatment of the lesions is not imposed.

关 键 词：感染性休克 

分 类 号：R6[医药卫生—外科学]