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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