儿童严重脓毒症、脓毒性休克是PICU中患儿的主要死亡原因之一,早期识别、及时诊断、尽早治疗是改善预后、降低病死率之关键.该文再次强调了儿童脓毒症新定义,并推荐国外的儿童脓毒症筛查方案及早期目标导向治疗(EGDT)方案,旨在指导国内儿科医师的诊断和治疗,改善严重脓毒症、脓毒性休克儿童的预后,提高生存率.%Pediairic severe sepsis and septic shock is one of leading causes of death in pediatric intensive care unit. Early recognition and resuscitation of pediatrie severe sepsis and septic shock is the key strategy io improve prognosis and reduce the mortality. This review reemphasized tine new definition of periiatric sepsis and recommended pediatrie sepsis screening protocol and early goal-directed therapy ( KGDT) protocol. The purpose of this review is to provide guidance for Chinese pediatrician to improve outcome of periiatrie severe sepsis and septic shock and increase the survival rate in clinical practice.
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