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目的：通过对比分析感染性休克患者的临床资料，了解规范化的感染性休克指南内容在急诊的实施情况。方法收集2007年1月~2011年12月经过急诊科抢救治疗的感染性休克患者的临床资料，回顾性分析指南要求的集束化复苏治疗在急诊的应用情况，同时以28 d病死率分组，比较两组患者指南实施情况。结果191例感染性休克患者中，中心静脉压（central venous pressure，CVP）、血乳酸、血糖和中心静脉血氧饱和度（central venous oxygen saturation，SCVO2）实施率分别为50.8%、82.7%、100%及23.6%。28 d病死率为37.2%。28 d存活组与死亡组相比，各项治疗完成率均较高，其中CVP使用率（%）及SCVO2检查率（%）明显增高，两组有明显差异P<0.05。结论感染性休克的患者，在急诊室接受规范集束化治疗，可以降低病死率，但目前部分治疗项目的依从性有待提高。“,”Objective To perform the comparative analysis on the clinical data of severe sepsis patients, and learn the state in standardized treatments of septic shock compliant surviving sepsis campaign (SSC) in emergency department. Methods A retrospective analysis of septic bundle was performed on 191 sepsis shock patients undergoing emergency rescue treatment in between Jan. 2007 and Dec. 2011 which divided into two groups, mortality group within 28-day and survival group. Results In the 191 cases, the detection rate of blood glucose, lactate, CVP and SCVO2 were 100%, 82.7%, 50.8%, and 23.6%, respectively. The 28-day mortality reflected 37.2%. The detection rate of CVP and SCVO2 demonstrated a significant difference between the survival group and mortality group. The survival group was higher than the mortality group, P<0.05. Conclusion Treated with sepsis bundle which SSC guideline recommended, the mortality of the septic shock is considered being reduced.