协和医学杂志

2020, v.11(05) 518-521

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新型冠状病毒肺炎急性呼吸窘迫综合征的血流动力学治疗
Hemodynamic Therapy for COVID-19 Patients with Acute Respiratory Distress Syndrome

尹万红;康焰;
YIN Wan-hong;KANG Yan;Department of Critical Care Medicine,West China Hospital of Sichuan University;

摘要(Abstract):

由于新型冠状病毒肺炎的特殊性,新型冠状病毒肺炎急性呼吸窘迫综合征患者既有传统急性呼吸窘迫综合征的血流动力学特点,又有其特别之处。血流动力学治疗是新型冠状病毒肺炎急性呼吸窘迫综合征患者的核心治疗手段,肺内血流分布状态和右心-肺循环单元的血流改变其是核心环节。重症超声为基础的多元监测有助于精细地描述新型冠状病毒肺炎急性呼吸窘迫综合征的血流动力学特点,导向肺血流分布调节-右心-左心一体化精准治疗。由于治疗与伤害并存,贯彻保护与预警理念对患者的早期救治及预后改善尤为重要。
The core management for COVID-19 patients with acute respiratory distress syndrome(ARDS)is hemodynamic therapy, including adjustment to the distribution of blood flow in the lungs and to the changes of blood flow in the right heart-lung circulation. These patients not only have the hemodynamic characteristics of traditional ARDS,but also have special features of COVID-19. Multiple monitoring based on critical care ultrasonography is helpful to describe these features in detail and advance precise treatment that depends on the adjustment to the distribution of pulmonary blood flow-right heart-left heart.

关键词(KeyWords): 新型冠状病毒肺炎;急性呼吸窘迫综合征;血流动力学;重症超声
COVID-19;acute respiratory distress syndrome;hemodynamic therapy;critical ultrasonography

Abstract:

Keywords:

基金项目(Foundation): 四川省新型冠状病毒肺炎重症患者临床特征及其转归大型队列研究(HX2019nCoV027);; 重症超声在新型冠状病毒感染肺炎患者快速筛检、确诊、效果评判及重症化防治中的价值研究(HX2019nCoV045)

作者(Author): 尹万红;康焰;
YIN Wan-hong;KANG Yan;Department of Critical Care Medicine,West China Hospital of Sichuan University;

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