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Die Bedeutung der Gerinnung für die Prognose von Patienten mit Sepsis

  • H. Böhrer
Conference paper

Zusammenfassung

Da die Definition der Sepsis sehr weitgefasst ist [1], ergibt sich für die Einschätzung der Prognose von septischen Patienten eine ganze Reihe von Ansätzen (s. folgende Übersicht). Der „klinische Blick“ des erfahrenen Intensivmediziners oder auch das „gut feeling“ des Operateurs [13] werden im heutigen Zeitalter der evidenzbasierten Medizin immer mehr in den Hintergrund treten. Man versucht heute, diesen klinischen Blick mit Hilfe von Scoresystemen zu quantifizieren. Für den septischen Patienten stehen allgemeine Scores wie der APACHE II oder III zur Verfügung. Einzelne Untersucher bevorzugen allerdings den Einsatz spezieller Scoresysteme wie z. B. den Sepsisscore von Elebute u. Stoner [8].

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© Springer-Verlag Berlin Heidelberg 2002

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  • H. Böhrer

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