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早期目标指导性治疗(EGDT)可有效改善严重脓毒症病人的预后,降低病死率。然而,进行EGDT需要各科医生的共同参与,治疗过程需要密切监测,而我国的医疗资源相对紧缺,同时非重症医学专业的医生对严重脓毒症EGDT的重要性和执行尚缺乏认识,也缺乏规范性。因此,加强对各科室医生(包括急诊、外科、内科及重症医学科)的培训以及建立相应的操作规范,加强团队精神,及早规范的对严重脓毒症病人进行EGDT治疗,无疑是一项紧迫而意义重大的工作。
Early target-directed therapy (EGDT) can effectively improve the prognosis of patients with severe sepsis and reduce mortality. However, the EGDT requires the participation of all physicians, and the treatment process needs to be closely monitored. However, the medical resources in our country are relatively scarce. At the same time, the non-critically acclaimed medical doctors are still lacking in understanding and implementing the importance and implementation of severe sepsis EGDT Normative. Therefore, it is undoubtedly an urgent task to step up training of physicians in various departments (including emergency department, surgery, internal medicine and critical care medicine) as well as to establish corresponding codes of practice to strengthen team spirit and to early regulate EGDT treatment in patients with severe sepsis Meaningful work.