Cov ntsiab cai ntawm kev tswj cov kua dej thiab kev saib xyuas hauv kev poob siab septic: nws yog lub sijhawm los xav txog plaub D's thiab plaub theem ntawm kev kho kua dej

Hauv cov neeg mob uas muaj septic shock, kev tswj xyuas cov kua dej thaum lub sij hawm pib hemodynamic resuscitation tseem yog ib qho kev sib tw loj.

Peb tab tom ntsib nrog ntau cov lus nug qhib hais txog hom, koob tshuaj thiab lub sijhawm ntawm kev tswj cov kua dej hauv cov hlab ntsha.

Cov tswv yim tswj cov kua dej hauv cov neeg mob septic shock

Tsuas muaj plaub qhov kev qhia tseem ceeb rau kev tswj hwm cov kua dej hauv cov hlab ntsha: ib sab ntawm kev ua kom rov zoo, cov kua dej hauv cov hlab ntsha muaj ntau lwm yam kev siv xws li kev saib xyuas thiab hloov tag nrho lub cev dej thiab electrolytes, ua cov khoom siv rau cov tshuaj thiab cov khoom noj khoom haus parenteral.

Hauv qhov kev tshuaj xyuas qhov kev hloov pauv no, peb sib tham txog cov tswv yim tswj xyuas cov kua dej sib txawv nrog rau kev tswj xyuas cov dej kom txaus thaum ntxov, kev tswj xyuas cov kua dej lig thiab kev tshem tawm cov kua dej lig.

Tsis tas li ntawd, peb nthuav tawm lub tswv yim ntawm "plaub D's" ntawm kev kho kua dej, uas yog tshuaj, noj, sijhawm ntev thiab de-escalation.

Thaum kho cov neeg mob septic shock, plaub theem ntawm kev kho cov kua dej yuav tsum tau txiav txim siab txhawm rau muab cov lus teb rau plaub nqe lus nug.

Plaub theem no yog theem resuscitation, theem optimization, theem stabilization thiab theem khiav tawm.

Plaub lo lus nug yog "Thaum twg thiaj li pib tso cov kua dej hauv cov hlab ntsha?", "Thaum twg thiaj li tso tseg cov kua dej hauv cov hlab ntsha?", "Thaum twg thiaj li pib de-resuscitation lossis tshem tawm cov kua dej tawm?" thiab thaum kawg "Thaum twg los nres de-resuscitation?" Hauv kev sib piv rau txoj hauv kev peb siv tshuaj tua kab mob hauv cov neeg mob hnyav, nws yog lub sijhawm rau kev tswj xyuas dej.

gestione fluidi poob siab settico

Nyeem kuj:

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Sepsis, Yog vim li cas tus kab mob yog ib tug txaus ntshai thiab hem rau lub plawv

Tau qhov twg los:

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