脓毒症3.0幻灯片

标准的特异性不佳。РN Engl J Med, 2015, 372 (17): 1629-1638.РDo we need a new definition of sepsis?Р……the definition of septic shock currently revolves around variable blood pressure and/or lactate levels, with loosely termed or undefined ‘adequacy of fluid resuscitation’ and ‘persistent’ hypotension. Defining sepsis must, however, be an ongoing iterative process requiring minor or major revisions as new e to light. In much the same way that software enhancements move from version 1.0 to 1.1 or to 2.0 depending on the magnitude of change, so a new sepsis 3.0 definition must be refined into versions 3.1, 3.2, and so on until an plete overhaul generates the development of sepsis 4.0.РIntensive Care Med, 2015, 41 (5): 909-911.Р脓毒症的诊断标准于1991年发布(脓毒症1.0),但过于敏感,可能导致脓毒症的过度诊断和治疗;2001年更新版(脓毒症2.0)又过于复杂,未被广泛应用。