腹腔脓毒症治疗中器官功能支持的特点及应用价值  

Management of organ dysfunction in patients with abdominal sepsis

作　　者：周华[1] 许媛[1] ZHOU Hua;XU Yuan(Department of Intensive Care Unit, Beijing Tsinghua Chang Gung Hospital, Tsinghua University, Beijing 102218, China)

机构地区：[1]清华大学附属北京清华长庚医院重症医学科

出　　处：《中国实用外科杂志》2019年第6期568-571,共4页Chinese Journal of Practical Surgery

摘　　要：腹腔感染是外科急腹症较常见的合并症,严重者合并休克、腹腔高压或ACS并进一步导致呼吸、循环衰竭与胃肠、肾脏、凝血系统和脑等器官的损害,并成为病死率增加的主要的原因。早期识别与合理干预是成功治疗的关键,处理的措施包括早期复苏、充分组织灌注与针对性器官功能支持,合理的机械通气策略、及时有效的肾脏替代与早期肠道喂养等是常选择的治疗手段。Intra-abdominal infections is a common complication of acute abdominal surgery,and the important causes of mortality and morbidity in the patients with septic shock and IAH or ACS,which additionally induce ARDS,AKI,acute gastrointestinal injury,brain and coagulation dysfunction and so on.Early optimal management of intra-abdominal infections in critically ill patient includes early resuscitation and physiologic organ support combined with appropriate monitoring and evaluation.

关 键 词：腹腔感染 脓毒症休克 腹腔高压 多器官功能障碍综合征 

分 类 号：R6[医药卫生—外科学]