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ICU脓毒症休克皮肤花斑的研究进展
The Septic Shock with Skin Mottling in ICU: A Literature Review

DOI: 10.12677/NS.2021.106109, PP. 666-671

Keywords: 脓毒症休克，重症监护室，微循环，皮肤花斑，护理
Sepsis Shock, ICU, Microcirculation, Skin Mottling Score, Nursing

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Abstract:

脓毒症休克是重症监护室的常见严重疾病之一，同时也是造成高死亡率的原因之一。此时患者微循环受损将导致器官功能障碍等严重事件，这在部分患者中会以皮肤花斑的形式表现出来，皮肤花斑是患者死亡率的强预测因子，并且具有皮肤花斑的脓毒症休克患者病情通常较为严重。本文总结了具有皮肤花斑的脓毒症休克患者的研究进展，阐述了皮肤花斑在脓毒症休克患者护理过程中的重要辅助意义，为ICU临床医护人员提供借鉴依据。
Sepsis is one of the common serious diseases in ICU, and it is also one of the causes of high mortality. Microcirculation damage of patients will lead to organ dysfunction and other serious events, which will be apparent in the form of skin mottling in some sufferers. Skin mottling is a predictor of mortality in patients with septic shock, and the septic shock with skin mottling is almost severe. This paper summarized the research progress the sepsis shock with skin mottling, and expounded the important significance of skin spots in the nursing process of septic shock patients. The study can provide reference for clinical medical staff of ICU.

References

[1]  王仲. 提倡早期干预, 实现“脓毒症”的预防与阻断[J]. 华西医学, 2020, 35(11): 1299-1302.
[2]  Rhodes. A., Evans, L.E., Alhazzani, W., et al. (2016) Surviving Sepsis Campaign: International Guidelines for Manage-ment of Sepsis and Septic Shock. Intensive Care Medicine, 43, 304-377.
https://doi.org/10.1007/s00134-017-4683-6
[3]  中国医疗保健国际交流促进会急诊医学分会, 中华医学会急诊医学分会, 中国医师协会急诊医师分会, 等. 中国脓毒症早期预防与阻断急诊专家共识[J]. 中华急诊医学杂志, 2020, 29(7): 885-895.
[4]  Vincent, J.L., Sakr, Y., Sprung, C.L., et al. (2006) Sepsis in European Intensive Care Units: Re-sults of the SOAP Study. Critical Care Medicine, 34, 344-353.
https://doi.org/10.1097/01.CCM.0000194725.48928.3A
[5]  Martin, G., Brunkhorst, F.M., Janes, J.M., et al. (2009) The International PROGRESS Registry of Patients with Severe Sepsis: Drotrecogin Alfa (Activated) Use and Pa-tient Outcomes. Critical Care, 13, Article No. R103.
https://doi.org/10.1186/cc7936
[6]  Singer, M., Deutschman, C.S., Seymour, C.W., et al. (2016) The Third Inter-national Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA, 315, 801-810.
https://doi.org/10.1001/jama.2016.0287
[7]  曹钰, 柴艳芬, 邓颖, 等. 中国脓毒症/脓毒性休克急诊治疗指南(2018) [J]. 临床急诊杂志, 2018, 19(9): 567-588.
[8]  De, Backer. D., Donadello, K., Sakr, Y., et al. (2013) Micro-circulatory Alterations in Patients with Severe Sepsis: Impact of Time of Assessment and Relationship with Outcome. Critical Care Medicine, 41, 791-799.
https://doi.org/10.1097/CCM.0b013e3182742e8b
[9]  Hernandez, G., Pedreros, C., Veas, E., et al. (2012) Evolu-tion of Peripheral vs Metabolic Perfusion Parameters during Septic Shock Resuscitation. A Clinical-Physiologic Study. Journal of Critical Care, 27, 283-288.
https://doi.org/10.1016/j.jcrc.2011.05.024
[10]  Ince, C. (2015) Hemodynamic Coherence and the Rationale for Monitoring the Microcirculation. Critical Care, 19, Article No. S8.
https://doi.org/10.1186/cc14726
[11]  Coudroy, R., Jamet, A., Frat, J.P., et al. (2015) Incidence and Impact of Skin Mottling over the Knee and Its Duration on Outcome in Critically Ill Patients. Intensive Care Medicine, 41, 452-459.
https://doi.org/10.1007/s00134-014-3600-5
[12]  Ait-Oufella, H., Lemoinne, S., Boelle, P.Y., et al. (2011) Mott-ling Score Predicts Survival in Septic Shock. Intensive Care Medicine, 37, 801-807.
https://doi.org/10.1007/s00134-011-2163-y
[13]  Ait-Oufella, H., Bourcier, S., Alves, M., et al. (2013) Alteration of Skin Perfusion in Mottling Area during Septic Shock. Annals of Intensive Care, 3, Article No. 31.
https://doi.org/10.1186/2110-5820-3-31
[14]  Kazune, S., Caica, A., Volceka, K., et al. (2019) Relationship of Mottling Score, Skin Microcirculatory Perfusion Indices and Biomarkers of Endothelial Dysfunction in Patients with Septic Shock: An Observational Study. Critical Care, 23, Article No. 311.
https://doi.org/10.1186/s13054-019-2589-0
[15]  Bourcier, S., Joffre, J., Dubée, V., et al. (2017) Marked Regional Endothelial Dysfunction in Mottled Skin Area in Patients with Severe Infections. Critical Care, 21, Article No. 155.
https://doi.org/10.1186/s13054-017-1742-x
[16]  Brunauer, A., Kok？fer, A., Bataar, O., et al. (2016) Changes in Peripheral Perfusion Relate to Visceral Organ Perfusion in Early Septic Shock: A Pilot Study. Journal of Critical Care, 35, 105-109.
https://doi.org/10.1016/j.jcrc.2016.05.007
[17]  Lu, S.H., Yu, P.J. and Dai, Y.T. (2016) Fever Presentation and Associated Factors in Patients with Healthcare-Asso- ciated Bacteraemia. International Journal of Nursing Practice, 22, 98-107.
https://doi.org/10.1111/ijn.12369
[18]  Tiruvoipati, R., Ong, K., Gangopadhyay, H., et al. (2010) Hypo-thermia Predicts Mortality in Critically Ill Elderly Patients with Sepsis. BMC Geriatrics, 10, Article No. 70.
https://doi.org/10.1186/1471-2318-10-70
[19]  吴丁烨, 董亮, 高嵩, 等. 体温对脓毒性休克患者预后的影响[J]. 中华危重病急救医学, 2019, 31(10): 1219-1223.
[20]  邹圣强, 朱小芳, 乔瑶, 等. ICU脓毒症患者肠内营养喂养不耐受的危险因素调查[J]. 中华灾害救援医学, 2017, 5(9): 498-501.
[21]  Franzosi, O.S., Nunes, D.S.L., Klanovicz, T.M., et al. (2020) Hemodynamic and Skin Perfusion Is Associated with Successful Enteral Nutrition Thera-py in Septic Shock Patients. Clinical Nutrition, 39, 3721-3729.
https://doi.org/10.1016/j.clnu.2020.03.033
[22]  Preda, G., Bourcier, S., Joffre, J., et al. (2017) Mottling Score Is Associated with 28-Day Mortality in Critically Ill Patients with Sepsis. Minerva Anestesiologica, 83, 664-666.
[23]  石齐芳, 盛鹰, 王树云, 等. 皮肤花斑评分对脓毒症休克患者预后的评估作用[J]. 内科急危重症杂志, 2019, 25(1): 50-52.
[24]  Rivers, E., Nguyen, B., Havstad, S., et al. (2001) Early Goal-Directed Therapy in the Treatment of Severe Sepsis and Septic Shock. New England Journal of Medicine, 345, 1368-1377.
https://doi.org/10.1056/NEJMoa010307
[25]  Galbois, A., Bigé, N., Pichereau, C., et al. (2015) Exploration of Skin Perfusion in Cirrhotic Patients with Septic Shock. Journal of Hepatology, 62, 549-555.
https://doi.org/10.1016/j.jhep.2014.10.012

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