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《2024年国际共识:诊断儿童脓毒症和脓毒性休克的Phoenix标准》解读
何玮梅,张晨美,单佳妮
浙江大学医学院附属儿童医院 国家儿童健康与疾病临床医学研究中心
摘要:
本文旨在探讨Phoenix标准在儿童脓毒症与脓毒性休克中的应用,结合重症医学会国际共识标准进行解读。通过系统分析,本文对Phoenix标准的各项指标进行了详细讨论,并评估了其在临床实践中的有效性和适用性。结果表明,Phoenix标准在早期识别和评估儿童脓毒症及脓毒性休克方面具有较高的敏感性和特异性,为临床医生提供了重要的参考工具。同时,本文指出了该标准的局限性,并建议在不同临床环境中结合其他诊断工具使用,以提高诊断准确性。
关键词:  儿童脓毒症  脓毒性休克  感染  休克  诊断标准
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基金项目:国家重点研发计划(2021YFC2701800、2021YFC2701801)
Interpretation of the 2024 International Consensus Criteria for Pediatric Sepsis and Septic Shock
HE Weimei1,2,3, ZHANG Chen-mei1,2,3, SHAN Jiani1,2,3
1.Children’s Hospital,Zhejiang University School of Medicine;2.National Clinical Research Center for Child Health,Hangzhou 310052;3.China
Abstract:
This paper aims to explore the application of the Phoenix score in the assessment of pediatric sepsis and septic shock, evaluated in conjunction with the International Consensus Standards of the Society of Critical Care Medicine. Through a systematic analysis, the study provides a detailed discussion of the various components of the Phoenix score and assesses its effectiveness and applicability in clinical practice. The results indicate that the Phoenix score demonstrates high sensitivity and specificity in the early identification and assessment of pediatric sepsis and septic shock, serving as a valuable reference tool for clinicians. Additionally, the paper highlights the limitations of this scoring system, recommending its use in combination with other diagnostic tools in different clinical settings to enhance diagnostic accuracy.
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