论文部分内容阅读
目的总结肝移植术后脓毒症的治疗经验。方法回顾性分析2014年9月中山大学附属第三医院外科重症监护室收治的1例肝移植术后脓毒症的临床特征及治疗方法,并复习国际严重脓毒症和脓毒症休克治疗指南(SSC指南)解读及相关文献。结果 1例50岁男性患者在肝移植术后1 d出现高热、血压下降,诊断为感染性休克,经过适当的目标导向性液体复苏、抗感染、血液净化等治疗获得缓解,患者病情稳定出院。结论肝移植术后患者易发生感染,由感染引起的脓毒症病死率高,因此一旦发生脓毒症,临床医师要积极地按照SSC指南进行早期的目标导向性治疗及集束化治疗,根据病原培养结果选用合适的药物,降低病死率。
Objective To summarize the experience of treatment of sepsis after liver transplantation. Methods A retrospective analysis was performed on the clinical features and treatment of sepsis after liver transplantation in the surgical intensive care unit of the Third Affiliated Hospital of Sun Yat-sen University in September 2014 and to review the guidelines for the treatment of severe sepsis and septic shock in the world (SSC Guide) Interpretation and related literature. Results A 50-year-old man presented with fever and blood pressure 1 d after liver transplantation and was diagnosed as septic shock. After proper targeted fluid resuscitation, anti-infection and blood purification were relieved and the patient was discharged. Conclusions In patients after liver transplantation, infection is easy to occur and sepsis caused by infection has a high mortality rate. Therefore, in the event of sepsis, clinicians should actively conduct early targeted therapy and cluster therapy according to the SSC guidelines. The results of the selection of appropriate drugs, reduce mortality.