协和医学杂志

2017, v.8(06) 332-335

[打印本页] [关闭]
本期目录(Current Issue) | 过刊浏览(Past Issue) | 高级检索(Advanced Search)

休克复苏失协调
Loss of Coherence in the Resuscitation of Shock

何怀武;隆云;刘大为;
HE Huai-wu;LONG Yun;LIU Da-wei;Department of Critical Care Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences &Peking Union Medical College;

摘要(Abstract):

休克复苏过程中常常面临即使宏观循环已被纠正,但患者仍持续存在组织低灌注和细胞缺氧的临床挑战。本文提出应用复苏协调性概念评价复苏过程中宏观循环和微循环、组织灌注及细胞氧代谢相互偶联的关系。早期识别复苏失协调有助于避免过度复苏,及时调整复苏的治疗方向。
Poor tissue perfusion and cellular hypoxia could be persistent even when macro-circulation has been restored,which has become a great challenge for physicians in performing resuscitation on patients with circulatory shock. Hereby,we introduced the concept of resuscitation coherence( RC) to evaluate the interaction of macro-circulatory alteration with the corresponding change of microcirculatory perfusion and cellular oxygen metabolism in resuscitation. Early identification of the loss of RC might be helpful to avoid over-resuscitation and determine the next therapeutic direction.

关键词(KeyWords): 休克;复苏协调性;重症血流动力学;微循环;宏观循环
shock;resuscitation incoherence;critical hemodynamics;microcirculation;macro-circulation

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 何怀武;隆云;刘大为;
HE Huai-wu;LONG Yun;LIU Da-wei;Department of Critical Care Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences &Peking Union Medical College;

Email:

DOI:

参考文献(References):

扩展功能
本文信息
服务与反馈
本文关键词相关文章
本文作者相关文章
中国知网
分享