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1 明確心源性休克的分類 心源性休克（CS）的定義我們都知道，是指心臟泵血功能衰竭導(dǎo)致心排血量減低、血壓下降，引起重要臟器和組織灌注不足、全身性微循環(huán)功能障礙。常有四肢濕冷、意識淡漠等情況。 最常見的病因包括急性冠脈綜合征和慢性心力衰竭急性失代償，少見病因有急性暴發(fā)性心肌炎、急性肺栓塞、應(yīng)激性心肌病、急性感染性心內(nèi)膜炎、急性心包填塞、急性主動脈疾病等。  CI：心臟指數(shù)；SVR：體循環(huán)阻力；PCWP：肺毛細(xì)血管楔壓 圖片來源：作者提供 2 根據(jù)分類，選取正確治療  參考文獻(xiàn)： [1] 張松. 心源性休克診治進(jìn)展及指南解讀 [J]. 醫(yī)學(xué)研究雜志,2017,46(10):1-3+17. [2] 韋丙奇, 鄒長虹, 張健. 重視心源性休克 [J]. 中國實用內(nèi)科雜志,2020,40(12):969-973. [3] Baran David A,Grines Cindy L,Bailey Steven,Burkhoff Daniel,Hall Shelley A,Henry Timothy D,Hollenberg Steven M,Kapur Navin K,O'Neill William,Ornato Joseph P,Stelling Kelly,Thiele Holger,van Diepen Sean,Naidu Srihari S. SCAI clinical expert consensus statement on the classification of cardiogenic shock: This document was endorsed by the American College of Cardiology (ACC), the American Heart Association (AHA), the Society of Critical Care Medicine (SCCM), and the Society of Thoracic Surgeons (STS) in April 2019.[J]. Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions,2019,94(1). [4] Sean van Diepen,Jason N. Katz,Nancy M. Albert,Timothy D. Henry,Alice K. Jacobs,Navin K. Kapur,Ahmet Kilic,Venu Menon,E. Magnus Ohman,Nancy K. Sweitzer,Holger Thiele,Jeffrey B. Washam,Mauricio G. Cohen. Contemporary Management of Cardiogenic Shock: A Scientific Statement From the American Heart Association[J]. Circulation,2017,136(16). [5] Levy B, Bastien O, Karim B, Cariou A, Chouihed T, Combes A, Mebazaa A, Megarbane B, Plaisance P, Ouattara A, Spaulding C, Teboul JL, Vanhuyse F, Boulain T, Kuteifan K. Experts' recommendations for the management of adult patients with cardiogenic shock. Ann Intensive Care. 2015 Dec;5(1):52. doi: 10.1186/s13613-015-0052-1. Epub 2015 Jul 1. Erratum in: Ann Intensive Care. 2015 Dec;5(1):26. Benjelid, Karim [corrected to Karim, Bendjelid]; Splaulding, Christian [corrected to Spaulding, Christian]. PMID: 26152849; PMCID: PMC4495097. |
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