Window of severe illnesses | Mantiao purulent poison: save life, "annihilate" purulent disease

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Guard the life oasis and care for health with your heart. The "Window of Severe" column is a science popularization column opened by the Department of Critical Medicine of Guangdong Provincial Hospital of Traditional Chinese Medicine. It regularly pushs you the knowledge of critical critical illness and unveiled the mysterious veil of intensive medicine.

Today, how to treat purulent disease in science and life to save lives. The onset of purulent poison is hidden, and it is often not easy to find at the beginning of the onset. It is a mysterious killer of healthy. In order to protect human health, the medical community has never stopped.

Ten years ago, the European Severe Society, the International Systemic Infectious Forum, and the American Critical Medical Association, the joint academic organization, the SurvivingSepsis Campaign (SSC). The academic big coffee of intensive medical and infectious diseases, the masters gathered, the opponent has only one-purulent disease. The academic organization will publish evidence -based medical guidelines for the diagnosis and treatment of purulent disease every few years.

The English abbreviation of purulent disease is referred to as SEPSIS. Its definition has also undergone several updates with the progress of understanding and research. From Spesis 1.0 to SPESIS3.0, the treatment of purulent disease has a system of systematic system. The core of purulent disease treatment is one hour of gold. The rescue of purulent poisoning must fight at all times. Time is life. Among them, lactic acid indicators are important instructions for purulent disease first aid. Doctors can use broad -spectrum antibacterial drugs according to blood lactic acid values, or crystal injections, or vascular active drug injection. The treatment of purulent disease mainly includes three major aspects:

1. Control infection, trace the source interception: cultivation through microbial specimen

Determine the type of infection; give effective intravenous antibacterial drugs

Daily detection until the source of infection is cleared to achieve the purpose of cutting off purulence.

2. Symptoms support treatment, eighteen martial arts, maintain organ function. Including drugs with antibiotics, improving immunity, using boosting drugs, sedative and analgesic drugs, and nutritional support.

① Infusion: infusion liquid or plasma, plasma, red blood cells, platelets and other ingredients. ② Life support: such as ventilator, kidney replacement treatment, artificial liver and other organs support methods.

③ Surgical surgery, intervention puncture drainage. Patient's vital signs stabilize and recover through a series of ways.

3. Life monitoring, Guardian Guardian: At all times, the soil of refueling is deepened, and monitoring methods such as B -ultrasound, blood oxygen saturation, blood flow dynamic monitoring, microcirculation monitoring, and state monitoring are closely monitored and comprehensively monitoring life signs and signs of life and comprehensive monitoring and comprehensive monitoring of life signs and signs of life and signs of life and comprehensive monitoring. Condition changes.

At present, we often lack special effects of therapeutic drugs and measures. Basic all treatments are passive symptomatic support treatment. In recent years, clinical research on purulent disease has been processed, but the gratifying results are still lacking. Prevention is better than treatment, and the attention of the public is needed to take attention and prevention of purulent disease.

He extension

Doctor of Medicine, Postdoctoral, Deputy Chief Physician

Graduate tutor of Guangzhou University of Traditional Chinese Medicine, the hospital "Chaoyang Talent", a visiting scholar at the University of Pennsylvania, senior training of SICU severe medical medicine, the Standing Committee and secretary of the China -Chinese and Western Medicine Society of Integrated Medicine The Standing Committee and Secretary-General of the Medical Professional Committee and other academic duties of the Guangdong Provincial Health and Health Commission's medical and health talent "group-style" close-type assistance medical team (Guangdong Provincial Hospital of Traditional Chinese Medicine-Fengshun County Traditional Chinese Medicine Hospital)

He has been engaged in the research and work of intensive medical specialty, and the main attack direction: the clinical and basic research of traditional Chinese and Western medicine to prevent purulent poison. Host 5 projects such as the National Natural Science Foundation (project) and other levels of provincial and ministerial levels, published more than 20 academic papers of Chinese core and SCI source journals

Good at: hydatida, multi -organ dysfunction syndrome, acute respiratory distress syndrome, shock, acute myocardial infarction and other critical diseases such as Chinese and Western medicine

Supply: Discipline of Critical Medicine, Dade Road General Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine

Executive editor: Wu Yuan Tuan

Audit school pair: Zhuang Yingge

Editor in charge: Song Liping

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