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脓毒症液体治疗急诊专家共识

2018-01-02 中华医学会急诊医学分会 中华急诊医学杂志.2018,27(1):30-38.

脓毒症液体治疗

早期、及时的液体治疗或复苏和必要的血管活性药物使用是脓毒症和脓毒症休克积极治疗的基本措施。其中，液体治疗或复苏的目的是通过快速补充液体达到纠正血容量相对或绝对不足，保证正常的心输出量和器官血流灌注，保护脏器功能。目前，在脓毒症与脓毒症休克的液体治疗中，就液体种类、治疗或复苏时机的确定以及复苏目标等都还存在认识上的差异。基层医生对脓毒症患者的液体治疗或复苏的认知和重视程度也存在不足。为进一步指导急诊

中文标题：

脓毒症液体治疗急诊专家共识

发布机构：

中华医学会急诊医学分会

发布日期：

2018-01-02

简要介绍：

早期、及时的液体治疗或复苏和必要的血管活性药物使用是脓毒症和脓毒症休克积极治疗的基本措施。其中，液体治疗或复苏的目的是通过快速补充液体达到纠正血容量相对或绝对不足，保证正常的心输出量和器官血流灌注，保护脏器功能。目前，在脓毒症与脓毒症休克的液体治疗中，就液体种类、治疗或复苏时机的确定以及复苏目标等都还存在认识上的差异。基层医生对脓毒症患者的液体治疗或复苏的认知和重视程度也存在不足。为进一步指导急诊医师规范化、合理开展脓毒症以及脓毒症休克的液体治疗与复苏，中华医学会急诊医学分会、中国医师协会急诊医师分会、全军急救专业委员会和中国医疗保健国际交流促进会急诊急救专业委员会组织国内部分专家学者，通过查阅国内外重要文献，总结近年来脓毒症液体复苏领域的相关研究进展，并结合中国急诊医生的临床经验，遵照循证医学方法，提出脓毒症与脓毒症休克患者液体治疗急诊专家共识。

 

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评论区 (10)
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    2022-11-04 小白努力长高高

    谢谢分享

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2098560, encodeId=16f6209856079, content=谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65aa5643711, createdName=小白努力长高高, createdTime=Fri Nov 04 19:47:23 CST 2022, time=2022-11-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1206394, encodeId=e64d120639442, content=学习！, beContent=null, objectType=guider, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dec22608622, createdName=gujie_happy, createdTime=Sun Mar 27 16:19:32 CST 2022, time=2022-03-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1085275, encodeId=011210852e5a9, content=液体管理, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=01ec4833000, createdName=ylx306, createdTime=Wed Dec 29 06:44:37 CST 2021, time=2021-12-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000509, encodeId=ff32100050984, content=液体复苏再认识, beContent=null, objectType=guider, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6aa42133151, createdName=1581fd2e4em, createdTime=Sun Jul 18 07:54:02 CST 2021, time=2021-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=972037, encodeId=13839e20376e, content=液体复苏再认识, beContent=null, objectType=guider, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4abf2353958, createdName=122b8c2dm25(暂无昵称), createdTime=Wed Jun 09 00:21:56 CST 2021, time=2021-06-09, status=1, ipAttribution=)]
    2022-03-27 gujie_happy

    学习！

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2098560, encodeId=16f6209856079, content=谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65aa5643711, createdName=小白努力长高高, createdTime=Fri Nov 04 19:47:23 CST 2022, time=2022-11-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1206394, encodeId=e64d120639442, content=学习！, beContent=null, objectType=guider, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dec22608622, createdName=gujie_happy, createdTime=Sun Mar 27 16:19:32 CST 2022, time=2022-03-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1085275, encodeId=011210852e5a9, content=液体管理, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=01ec4833000, createdName=ylx306, createdTime=Wed Dec 29 06:44:37 CST 2021, time=2021-12-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000509, encodeId=ff32100050984, content=液体复苏再认识, beContent=null, objectType=guider, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6aa42133151, createdName=1581fd2e4em, createdTime=Sun Jul 18 07:54:02 CST 2021, time=2021-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=972037, encodeId=13839e20376e, content=液体复苏再认识, beContent=null, objectType=guider, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4abf2353958, createdName=122b8c2dm25(暂无昵称), createdTime=Wed Jun 09 00:21:56 CST 2021, time=2021-06-09, status=1, ipAttribution=)]
    2021-12-29 ylx306

    液体管理

    0

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    2021-07-18 1581fd2e4em

    液体复苏再认识

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=2098560, encodeId=16f6209856079, content=谢谢分享, beContent=null, objectType=guider, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=65aa5643711, createdName=小白努力长高高, createdTime=Fri Nov 04 19:47:23 CST 2022, time=2022-11-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1206394, encodeId=e64d120639442, content=学习！, beContent=null, objectType=guider, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=dec22608622, createdName=gujie_happy, createdTime=Sun Mar 27 16:19:32 CST 2022, time=2022-03-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1085275, encodeId=011210852e5a9, content=液体管理, beContent=null, objectType=guider, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=01ec4833000, createdName=ylx306, createdTime=Wed Dec 29 06:44:37 CST 2021, time=2021-12-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1000509, encodeId=ff32100050984, content=液体复苏再认识, beContent=null, objectType=guider, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6aa42133151, createdName=1581fd2e4em, createdTime=Sun Jul 18 07:54:02 CST 2021, time=2021-07-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=972037, encodeId=13839e20376e, content=液体复苏再认识, beContent=null, objectType=guider, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4abf2353958, createdName=122b8c2dm25(暂无昵称), createdTime=Wed Jun 09 00:21:56 CST 2021, time=2021-06-09, status=1, ipAttribution=)]
    2021-06-09 122b8c2dm25(暂无昵称)

    液体复苏再认识

    0

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