ICU的核心内容及临床思维要点

危重症患者存在急性的、全身性的、动态发展的病理生理改变（临床综合征）。ICU主要任务是：准确地识别和有效地调整患者的这种病理生理学状态／过程，促使其稳定。对危重病患者病情分析判断的原则是：在综合分析的基础上，要动态观察各种指标的变化，包括对治疗的反应性；在整体晓念的指导下、要注意个体化的特殊性。诊疗原则是：抓住最主要的...

The Clinical Thinking in the ICU

For critically ill patients, their pathophysiologic changes （Clinical Syndrome} are acute, systemic, and dynamic. The main work of ICU is to accurately identify the Pathophysiologic state/process, and adjust it effectively. Analysis principles to determine the condition of critically ill patients are： dynamically observing changes of various indicators （including responsiveness to treatment） based on comprehensive analysis, and particularity paying individual attention based on overall concept. Treatment principles can be summarized as the following： to seize the most important pathophysiological state, to find the balance point, to keep a relatively steady state, and to treat the primary disease.