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| Treatment experience of elderly sepsis shock with integrated Chinese and Western medicine |
| FU Yuefeng KONG Lingbo GUO Nan JIANG Shangshang MIAO Qing LI Xinyuan |
| Intensive Care Unit, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China |
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Abstract Septic shock is an important clinical problem for intensive medicine. As the population aging, the incidence of cancer rises, and the number of invasive medical measures increases, as well as the incidence of sepsis, and the sepsis shock mortality rate can be as high as 50% above. This article analyzes the treatment of senile sepsis by integrated traditional Chinese and Western medicine. The case was acute onset, with the diagnosis of fever, and the disease progressed rapidly, white blood cell, C-reactive protein, procalcitonin, D-Dimer increased significantly, the indicators of various organs rapidly deteriorated. Through comprehensive treatment with traditional Chinese and Western medicine, the patient's infection index decreased, and the indicators of various organs returned to normal. Although sepsis is fierce and the progress is rapid, as long as the treatment is timely, the patient can turn crisis into safety. The early participation of Chinese medicine in the early stage of treatment is of great significance to improve the overall condition of the patient and it can improve the prognosis.
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[1] Singer M，Deutsehrmn CS，Seymour CW，et al. The third International Consensus Definitions for Sepsis and Septic Shock（Sepsis-3）[J]. JAMA，2016，315（81）：801-810.
[2] Mouncey PR.，Osborn TM，Power G，et al. Trial of Early Goal-Directed Resuscitation for Septic Shock [J]. N Engl J Med，2015，14（14）：1301-1311.
[3] Dombrovskiy VY，Martin AA，Sunderram J，et al. Rapid increase in hospitalization and mortality rates for severe sepsis in the United States：a trend analysis from 1993 to 2003 [J]. Crit Care Med，2007，35（12）：1244-1250.
[4] 姚咏明，张艳敏.脓毒症发病机制最新认识[J].医学研究生学报，2017，30（7）：678-683.
[5] 马晓春，肇冬梅.2016脓毒症指南带给我们的启示和思考[J].天津医药，2018，46（6）：576-580.
[6] 何煜舟，汪云开，祝晨，等.中医辨证治疗脓毒症临床研究[J]中国中医急症，2012，21（4）：524-525.
[7] 中华医学会急诊医学分会危重病专家委员会，中国中西医结合学会急救医学专业委员会.脓毒症的定义、诊断标准、中医证候诊断要点及说明（草案）[J].中华急诊医学杂志，2007，25（8）：797-798.
[8] 刘清泉，张晓云，孔立，等.高热（脓毒症）中医诊疗专家共识意见[J].中国中医急症，2014，23（11）：1961-1963.
[9] 宋麦芬，杨思雯，郭玉红，等.Sepsis 3.0诊断标准下ICU脓毒症患者中医虚实证素对预后评估的探讨[J].中国中医急症，2016，25（12）：2238-2240.
[10] 刘春峰.第三次脓毒症和脓毒性休克定义国际共识解读[J].中国小儿急救医学，2016，23（3）：168-171.
[11] Peake SL，Delaney A，Bailey M，et al. Goal-directed resuscitation for patients with early septic shock [J]. N Engl J Med， 2014， 16（16）：1496-1506.
[12] 李磊.“十字路口”的脓毒症研究新思考[J].医学研究生学报，2017，30（7）：693-697.
[13] Fung HB，Monteagudo-Chu MO. Community-acquired pneumonia in the elderly [J]. Am J Geriatr Pharmacother，2010，8（1）：47-62.
[14] Committee for the Japanese Respiratory society Guidelines for the Management of Respimtory I. Guidelines for the management of community acquired pneumonia in adults， revised edition [J]. Respimlogy，2006，11（Suppl 3）：79-133.
[15] 郜茜，王昀.脓毒症休克患者血清C反应蛋白和降钙素原及D-二聚体的变化[J].中国医药，2018，32（7）：1048-1105.
[16] 降钙素原急诊临床应用专家共识组.降钙素原（PCT）急诊临床应用的专家共识[J].中华急诊医学杂志，2012， 21（9）：944-951.
[17] Rodelo JR，De la Rosa G，Valencia ML. D-dimer is a significant prognostic factor in patients with suspected infection and sepsis [J]. Am J Emerg Med，2012，30（9）：1991-1999.
[18] 李心笛，寿松涛.D-二聚体联合乳酸对急诊科疑似脓毒症患者预后的预测价值[J].中国急救医学，2018，38（4）：323-327.
[19] Seymour CW，Liu VX，Iwashyna TJ，et al. Assessment of Clinical Criteria for Sepsis：For the Third International Consensus Definitions for Sepsis and Septic Shock（Sepsis-3）[J]. JAMA，2016，315（8）：762-774.
[20] 奚小土，曾瑞峰.中西医结合新思维辨治脓毒症核心病机[J].中国中医急症，2018，27（1）：105-106，109.
[21] 吴歆頔，钱风华，赵雷，等.为什么说中医脓毒症理论与国际脓毒症3.0版新定义不谋而合[J].中国急救医学，2018，38（5）：444-450. |
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