摘要
脓毒症及脓毒症休克在重症患者中仍是常见并发症。尽管人们致力于改善脓毒症预后,但脓毒症死亡率仍然很高。Rivers等人提出早期目标导向治疗(early goal directed therapy,EGDT)可改善脓毒症预后,然而随着EGDT的推广,人们提出了越来越多的质疑,如改善预后方面、不良反应出现及复苏指标在指导液体复苏的可靠性等。本研究对这些质疑通过研究提出改进的方法做一综述。
Severe sepsis and septic shock are common complications of patients with critical illness. Despite efforts to improve its prognosis,its mortality still high. Rivers first reported that early goal-directed therapy （EGDT） significantly reduced the mortality rate of patients with severe sepsis and septic shock presenting to the emergency. However, as the EGDT promotion, there is increasingly doubt of EGDT. For example, improve the prognosis, its side effect and reliability of some goal.
出处
《当代医学》
2016年第11期11-13,共3页
Contemporary Medicine
作者简介
通讯作者：周立新,E-mail：drzhoulixin@gmail.com
