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由病原体及其毒素或抗原抗体复合物所引起的休克称为感染性休克。抢救感染性休克主要有两个方面: 一、积极治疗感染。除流行性出血热外,必须采用强有力的抗菌药物,抗菌药物的应用需注意以下原则: 1.有针对性:根据细菌种类和药敏试验选用,如无这些资料,应根据临床资料仔细分析而采用相应的药物,一时不能确定而病情十分危重者,可选用头孢噻甲羧肟或头孢三嗪噻肟,如可排除绿脓杆菌感染,也可选用头孢呋肟、头孢噻肟。 2.必须从静脉给药,能直接推注者不应作静脉滴注。 3.必须选用杀菌剂抗菌药物。 4.剂量宜较大,首剂应给每次量的加倍量。 5.注意肾功能情况,各种有肾毒性的抗菌药物均
Shock caused by pathogens and their toxins or antigen-antibody complexes is called septic shock. Rescue septic shock mainly in two aspects: First, active treatment of infection. In addition to epidemic hemorrhagic fever, we must adopt a strong antibacterial drugs, the application of antimicrobial drugs should pay attention to the following principles: 1. Targeted: According to the type of bacteria and drug sensitivity test selection, without these data should be carefully analyzed based on clinical data The use of the corresponding drugs, temporary can not be determined and the condition is very critical, may choose ceftazidime or ceftriaxime, such as Pseudomonas aeruginosa infection can be ruled out, but also the choice of cefuroxime, cefotaxime. 2. must be administered intravenously, those who can be directly injected should not be intravenous drip. 3. Must use antiseptic antibacterial drugs. 4. The dose should be larger, the first dose should be double the amount of each time. 5. Attention to renal function, a variety of anti-bacterial drugs are nephrotoxic