重症感染诊疗流程

《重症感染诊疗流程》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、中华重症医学电子杂志2017年5月第3卷第2期ChinJCritCareIntensiveCareMed,May2017,Vol.3,No.2·127·•基层诊疗流程•重症感染诊疗流程123456789翟茜　胡波郑瑞强张丽娜杨向红虞文魁张丹尹海燕隆云重症基层协作组【摘要】　感染是重症患者重要的死亡原因之一。但在重症感染的诊疗过程中，临床医师仍然存在较多误区亟待纠正，制定本流程的目的在于，结合相应国内外指南和专家共识，对诊断-治疗-评估-调整的临床过程加以解析，规范重症感染的诊疗行为，以期提升感染治愈率、降低死亡率，同

2、时减少细菌耐药性的产生。【关键词】　重症感染；　感染部位导向；　合理应用抗生素；　评估；　疗程123ProtolizeddiagnosisandtreatmentinsevereinfectionZhaiQian,HuBo,ZhengRuiqiang,Zhang456789Lina,YangXianghong,YuWenkui,ZhangDan,YinHaiyan,LongYun,CriticalCareCountyWorking1Group.DepartmentofCriticalCareMedicine,Qilu

3、HospitalofShandongUniversity,Jinan250012,2China;DepartmentofIntensiveCareUnit,ZhongnanHospitalofWuhanuniversity,Wuhan430071,China;3DepartmentofCriticalCareMedicine,NorthernJiangsuProvincePeople’sHospital,Yangzhou225001,4China;DepartmentofIntensiveCareUnit,Xiang

4、yaHospital,CentralSouthUniversity,Changsha410008,5China;DepartmentofCriticalCareMedicine,ZhejiangProvincialpeople’sHospital,Hangzhou310014,6China;DepartmentofCriticalCareMedicine,JinlinghospitalmedicalschoolofNanjinguniversity,7Nanjing210002,China;DepartmentofC

5、riticalCareMedicine,theFirstAffiliatedHospitalofChongqing8medicalUniversity,Chongqing400016,China;DepartmentofCriticalCareMedicine,GuangzhouRed9CrossHospital,Guangzhou510220,China;DepartmentofCriticalCareMedicine,PekingUnionMedicalCollegeHospital,PekingUnionMed

6、icalCollege,ChineseAcademyofMedicalSciences,Beijing100730,ChinaCorrespondingauthor:LongYun,Email:ly_icu@aliyun.com【Abstract】Infectionisoneofthemajorcauseofdeathincriticallyillpatients.Butintheprocessofdiagnosisandtreatmentofsevereinfection,therearestillsomemisc

7、onceptionsthatneedstobecorrected.Thegoalofthisprotocolistooutlinetheclinicalprocessofdiagnosis-treatment-reassessment-adjustmentforsevereinfection,andtostandardizephysician′sbehaviorbasedontherecentguidelinesandconsensus,soastodecreasethemorbidityandbacterialre

8、sistance.【Keywords】Severeinfection;Infection-siteguided;Reasonableantibioticstewardship;Evaluation;TreatmentdurationDOI：10.3877/cma.j.issn.2096-1537.2017.02.010基金项目：北京协和医学院2