从“拯救Sepsis运动”指南变迁看血流动力学的巨变

Dramatic Changes in Hemodynamics from the Changes of Surviving Sepsis Campaign Guidelines

摘要: 血流动力学治疗是Sepsis救治必不可少的内容。从2004年开始, "拯救Sepsis运动(Surviving Sepsis Campaign, SSC)"指南先后经历了4次变迁, 每一次变迁均是前期基础上的进一步完善。在SSC指南的变迁过程中, 血流动力学治疗策略的制定和实施发生着重要改变。临床对于Sepsis血流动力学治疗认识的逐步深刻也是血流动力学巨变的过程, 有利于治疗调控更为精准。

Abstract: Hemodynamic therapy is an essential part of sepsis treatment. Since 2004, the Surviving Sepsis Campaign guideline for Management of Severe Sepsis and Septic Shock has undergone four changes, each of which is further improved. With the changes of Surviving Sepsis Campaign Guidelines, development and implementation of the strategies of hemodynamic therapy have also changed significantly. Clinical understanding of hemodynamic therapy in septic patients is more profound and the regulation is more accurate.