Severe Sepsis During Pregnancy

被引：19

作者：

Pacheco, Luis D. ^{[1
,2
]}

Saade, George R. ^{[1
]}

Hankins, Gary D. V. ^{[1
]}

机构：

[1] Univ Texas Med Branch, Dept Obstet & Gynecol, Div Maternal Fetal Med, Galveston, TX 77555 USA

[2] Univ Texas Med Branch, Div Surg Crit Care, Dept Anesthesiol, Galveston, TX 77555 USA

来源：

CLINICAL OBSTETRICS AND GYNECOLOGY | 2014年 / 57卷 / 04期

关键词：

sepsis; septic shock; pregnancy;

D O I：

10.1097/GRF.0000000000000066

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Severe sepsis is a major cause of mortality among critically ill patients. Early recognition accompanied by early initiation of broad-spectrum antibiotics with source control and fluid resuscitation improves outcomes. Hemodynamic resuscitation starts with fluid therapy followed by vasopressors if necessary. Cases refractory to first-line vasopressors (norepinephrine) will require second-line vasopressors (epinephrine or vasopressin) and low-dose steroid therapy. Resuscitation goals should include optimization of central venous oxygenation and serum lactate.

引用

页码：827 / 834

页数：8

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