重症医学的现状与未来  

The present and future of intensive medicine

作　　者：秦英智[1] QIN Ying-zhi(Tianjin Third Central Hospital,Tianjin 300170,China)

机构地区：[1]天津市第三中心医院,300170

出　　处：《天津医药》2018年第6期561-563,共3页Tianjin Medical Journal

摘　　要：近30年来,重症医学取得了长足的发展,在医院的医疗实践和其他突发事件处置中发挥了积极的作用,已成为抢救危重患者、保障人民生命健康不可或缺的重要部分。重症医学科已经被证明能够适应变化,并能够引领学科发展。这些变化很大程度上改善了患者的预后。本文主要就早期识别脓毒症、急性肾损伤(AKI)与肾脏替代治疗(RRT)、呼吸衰竭与机械通气、血流动力学监测与容量复苏等四个方面论述重症医学的研究现状及未来发展。可以预见,通过加强基础与临床研究。In the past thirty years, intensive medicine has made great development, and it has been playing an active role in hospital medical practice and other emergencies. Intensive medicine has become an indispensable part in rescuing critically ill patients and protecting people＇ s life and health. It has been proved that intensive medicine is capable to adapt to change and to lead the development of the discipline. These changes have greatly improved the prognosis of patients. This article is mainly focused on the four aspects to explore the research status and future development of intensive medicine, including the early recognition of sepsis, acute kidney injury （AKI） and renal replacement therapy （RRT）, respiratory failure and mechanical ventilation, hemodynamic monitoring and volume resuscitation. It can be predicted that the future trend of intensive medicine is to foster collaboration between clinical and basic researches, and to make full use of big data and artificial intelligence.

关 键 词：脓毒症 呼吸 人工 肾替代疗法 血流动力学 重症医学 

分 类 号：R459.7[医药卫生—急诊医学]