頁籤選單縮合
題 名 | 敗血症之血流動力學治療=Support Management for Hemodynamic Patients with Sepsis |
---|---|
作 者 | 李建瑩; 施宏哲; | 書刊名 | 藥學雜誌 |
卷 期 | 31:1=122 2015.03[民104.03] |
頁 次 | 頁76-81 |
分類號 | 418.22 |
關鍵詞 | 敗血性休克; 輸液治療; 升壓劑; Septic shock; Fluid therapy; Vasopressors; |
語 文 | 中文(Chinese) |
中文摘要 | 第三版敗血症存活陣營 (Surviving Sepsis Campaign, SSC) 治療指引將敗血症分為 兩大部分處理,包括最初6小時的復甦處理與之後處理的照護,在最初6小時達到早期 治療之目標,將可減少患者24小時之死亡率,此文章將針對輸液治療、升壓劑及強心 劑治療方式來介紹及探討。若這些重症患者能接受妥善的治療及按照準則處置,可改 善這些重症患者的預後。 開始給予輸液時,首選是晶體狀 (crystalloids) 輸液而非選用膠體狀 (colloid) 輸液 作為起始選擇。重症患者不建議使用 hydroxyethyl starch,因使用 hydroxyethyl starch 輸液並不能降低死亡率,反而增加死亡率及急性腎損傷。當使用輸液治療時仍無法提 高血壓至正常值時,可使用升壓劑維持灌流及提升血壓。 |
英文摘要 | Based on the third edition of "Surviving Sepsis Campaign session, International Guidelines for Management of Severe Sepsis and Septic Shock, 2012", treatment of sepsis resuscitation bundle can be divided into two parts. The first part contains primary goals directed toward resuscitation during the initial 6-hour period. The second part focuses on post-resuscitation care following 6-hour period management. Initial 6-hour period of resuscitation has been demonstrated to be able to reduce the 24-hour mortality rate. At present, this section will place emphasis on the fluid therapy, vasopressors, and inotropic therapy on the severe sepsis group. If these critically ill patients are treated according to the guidelines, better prognosis can be expected and their final outcomes will be improved significantly. The primay choice of infusion fluid should be crystalloid rather than colloid. Hydroxyethyl starch should not be used for volume resuscitation in critically ill patients due to increased mortality and acute kidney injury. If the infusion treatment is not sufficient enough to raise the blood pressure to normal ranges, vasopressors can subsequently be used to maintain proper perfusion and enhance blood pressure. |
本系統中英文摘要資訊取自各篇刊載內容。