【心脏手术患者的重症监护治疗:以血流动力学为重点】。

Heidi Görler
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引用次数: 0

摘要

血流动力学治疗是心脏外科病人重症监护的一项核心任务。患者的基础疾病、手术类型和患者的个体特征在治疗方案的选择中起着关键作用。任何靶向血流动力学治疗的基础是对潜在病理障碍的鉴别诊断。如有必要,可扩展已建立的基本监测。术后循环功能障碍可表现为低心输出量综合征(LCOS),主要伴有左或右心力衰竭或血管麻痹综合征(VS)。除了狭义的儿茶酚胺外,还有各种血管活性物质和肌力物质可用于治疗。了解推荐的目标参数和适合适应症的监测是必不可少的。本文总结了目前治疗术后循环功能障碍的指南建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Intensive care treatment of cardiac surgery patients: focus on hemodynamics].

Hemodynamic treatment is a core task in the intensive medical care of cardiac surgery patients. The patient's underlying disease, the type of surgical procedure and the patient's individual characteristics play key roles in the selection of the treatment regimen. The basis of any targeted hemodynamic treatment is the differential diagnosis of the underlying pathological disorder. The established basic monitoring can be expanded if necessary. Postoperative circulatory dysfunction can occur as low cardiac output syndrome (LCOS) predominantly with left or right heart failure or as vasoplegic syndrome (VS). In addition to catecholamines in the narrow sense, various vasoactive and inotropic substances are available for treatment. Knowledge of the recommended target parameters and indication-appropriate monitoring are essential. This article summarizes the current guideline recommendations for the treatment of postoperative circulatory dysfunction.

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