住院患者脓毒症管理的急诊护理实践进展

Progress in Emergency Nursing Practice for the Management of Hospitalized Patients with Sepsis

摘要: 脓毒症作为急诊科最常见、病情进展最快的急危重症，也是全球致死率最高的疾病之一，其核心为感染诱发宿主反应失调导致的危及生命的器官功能障碍。急诊科作为脓毒症早期识别、复苏与分级处置的第一环节，急诊护理决策十分重要。本文基于最新内科学年鉴(Annals of Internal Medicine, AIM)住院患者脓毒症管理权威综述，结合拯救脓毒症运动(Surviving Sepsis Campaign, SSC)指南与急诊护理实践，从急诊护理角度出发将脓毒症急诊识别、监测评估、核心救治、并发症防治及延续性护理等方面进行全面综述，为构建标准化、规范化的急诊脓毒症护理体系提供循证学依据。

Abstract: Sepsis is one of the most common and rapidly‑progressing critical emergencies in the emergency department, as well as a disease with the highest mortality worldwide. Its core pathogenesis is life‑threatening organ dysfunction caused by dysregulated host responses to infection. The emergency department serves as the frontline for early recognition, resuscitation and stratified management of sepsis, where emergency nursing decision‑making plays a vital role. Based on the authoritative review on sepsis management among hospitalized patients published in Annals of Internal Medicine (AIM), combined with the Surviving Sepsis Campaign (SSC) guidelines and clinical emergency nursing practice, this paper comprehensively reviews emergency‑department‑based sepsis care from the perspectives of early identification, monitoring and assessment, core treatment, complication prevention and management, and continuous nursing. It aims to provide evidence‑based references for establishing a standardized and normative emergency nursing system for sepsis.