Must improve the recognize on septic shock in surgeons MA Xiao-chun.Department of Intensive Care Units, the First Affiliated Hospital ,China Medical University,Shenyang110001,China Abstract The nature of shock is dysoxia. The diagnosis and treatment should focus on the dysoxia and its improvement. The early goal-directed therapy (EGDT) indicates the important of early treatment. Sepsis bundle is necessary for standardizing the clinical practice, increasing feasibility and compliance and improving prognosis.