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感染性休克集束化治疗抢救医嘱确认单在一例感染性休克患者护理中的应用
作者:刘应叶  张瑶  周洁  张娜  李雪珠  李晓青  朱艳萍  钱淑媛 
单位:东南大学附属中大医院 重症医学科, 江苏 南京 210009
关键词:脓毒症 感染性休克 集束化治疗 护理 
分类号:R47
出版年·卷·期(页码):2020·48·第十一期(1433-1435)
摘要:

感染性休克是一种临床常见的危重症疾病。为了更迅速有效地救治感染性休克患者,根据脓毒症1 h集束化治疗(1 h bundle),东南大学附属中大医院重症医学科制定了感染性休克bundle抢救医嘱确认单,规范了医嘱的执行,提高了救治效率。

参考文献:

[1] SINGER M,DEUTSCHMAN C S,SEYMOUR C W,et al.The third international consensus definitions for sepsis and septic shock (Sepsis-3)[J].JAMA,2016,315(8):801-810.
[2] YANG Y,XIE J F,YU K J,et al.Epidemiological study of sepsis in China:rotocol of a cross-sectional survey[J].Chin Med J,2016,129(24):2967-2973.
[3] LEVY M M,EVANS L E,RHODES A.The surviving sepsis campaign bundle:2018 update[J].Crit Care Med,2018,44(6):925-928.
[4] SEYMOUR C W,GESTEN F,PRESCOTT H C,et al.Time to treatment and mortality during mandated emergency care for sepsis[J].N Engl J Med,2017,376(23):2235-2244.
[5] 郭晓娟,戴雪梅,毕玉红.流程化管理在提高感染性休克集束治疗执行率的临床研究[J].护理与康复,2018,17(5):59-61.
[6] PRUINELLI L,WESTRA B L,YADAV P,et al.Delay within the 3-Hour surviving sepsis campaign guideline on mortality for patients with severe sepsis and septic shock[J].Crit Care Med,2018,46(4):500-505.
[7] GARNACHO-MONTERO J,GUTIERREZ-PIZARRAYA A,ESCORESCA-ORTEGA A,et al.De-escalation of empirical therapy is associated with lower mortality in patients with severe sepsis and septic shock[J].Intensive Care Med,2014,40(1):32-40.
[8] 中国医师协会急诊医师分会,中国研究型医院学会休克与脓毒症专业委员会.中国脓毒症/脓毒性休克急诊治疗指南(2018)[J].感染、炎症、修复,2019,20(1):3-22.
[9] KUMAR A,ROBERTS D,WOOD K E,et al.Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock[J].Crit Care Med,2006,34(6):1589-1596.
[10] ZHANG D,MICEK S T,KOLLEF M H.Time to appropriate antibiotic therapy is an independent determinant of postinfection ICU and hospital lengths of stay in patients with sepsis[J].Crit Care Med,2015,43(10):2133-2140.
[11] BAGSHAW S M,LAPINSKY S,DIAL S,et al.Acute kidney injury in septic shock:clinical outcomes and impact of duration of hypotension prior to initiation of antimicrobial therapy[J].Intensive Care Med,2009,35(5):871-881.
[12] ISCIMEN R,CARTIN-CEBA R,YILMAZ M,et al.Risk factors for the development of acute lung injury in patients with septic shock:an observational cohort study[J].Crit Care Med,2008,36(5):1518-1522.
[13] GARNACHO-MONTERO J,ALDABO-PALLAS T,GARNACHO-MONTERO C,et al.Timing of adequate antibiotic therapy is a greater determinant of outcome than are TNF and IL-10 polymorphisms in patients with sepsis[J].Crit Care,2006,10(4):R111.
[14] LEVY M M,GESTEN F C,PHILLIPS G S,et al.Mortality changes associated with mandated public reporting for sepsis.The results of the New York state initiative[J].Am J Respir Crit Care Med,2018,198(11):1406-1412.

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