摘要
2013版严重全身性感染和感染性休克指南(SCC指南)继续强化"早期目标治疗"的核心理念,并修订了集束化治疗策略(Bundle);在抗菌药物使用、液体复苏、急性呼吸窘迫综合征(ARDS)和肠内营养等关键环节有较大的调整。尽管如此,新指南中推荐意见的整体水平仍有待提高,且有前途的新疗法纳入不足。总之,要根据具体情况把握原则,辩证应用,并尽最大可能形成自己的新措施和新见解。
The core concept of ＂early goal directed therapy＂ was persistently intensified and the bundle strategy was revised in 2013 Surviving Sepsis Campaign （SSC） guidelines for management of severe sepsis and septic shock. Meanwhile, in the new guideline the items regarding antibiotics selection, fluid resuscitation, ARDS, as well as intestinal nutritional therapy were also modified. Nevertheless, recommendations in 2013 SSC guideline, on the whole, need further improvement. Besides, new promising therapies treatments were barely adequate. To summarize, principles can be followed according to specific circumstances and applied based on differentiation. New measures and new insights should be formed to the greatest extent.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2013年第11期866-868,共3页
Chinese Journal of Practical Internal Medicine
