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急性呼吸窘迫综合征的右心功能评估与保护策略研究进展

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中重度急性呼吸窘迫综合征往往合并右心功能损伤,急性右心功能障碍破坏血流动力学的稳定,是ARDS死亡的主要风险因素.右心不仅是连接体循环和肺循环的通路,而且具有储器功能和泵功能,在血液循环中始终发挥着不可忽视的作用.急性呼吸窘迫综合征发生时,只有综合分析右心功能及其前后负荷变化、维持右室收缩力、优化右室充盈压和降低右心后负荷,才能更好地预防和处理ARDS合并急性右心衰竭.
Research progress on right heart function assessment and protective strategies in acute respiratory distress syndrome
Moderate to severe acute respiratory distress syndrome(ARDS)is often complicated with right heart function injury.The acute right heart dysfunction destroys the stability of hemodynamics.This is the main risk factor for death in patients with ARDS.The right heart is not only the pathway connecting the systemic circulation and pulmonary circulation,but also has the function of reservoir and pump,which always play an important role in blood circulation.When ARDS occurs,the right ventricular function and its preload and postload changes should be comprehensively analyzed,the right ventricular contractility should be maintained,the right ventricular filling pressure should be optimized,and the right ventricular afterload should be reduced.Only in this way,we could better prevent and treat the ARDS combined with acute right heart failure.

Right heart function assessmentRight heart protective strategiesAcute respiratory distress syndromeAcute right ventricular dysfunction

杨少康、刘婷、陈亿霏、刘悦、潘纯

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江苏省重症医学重点实验室,东南大学附属中大医院重症医学科,江苏南京 210009

四川省医学科学院·四川省人民医院(电子科技大学附属医院)重症医学中心,四川成都 610072

右心功能评估 右心保护策略 急性呼吸窘迫综合征 急性右心功能障碍

江苏省卫健委重点课题

ZD2021057

2024

实用医院临床杂志
四川省医学科学院 四川省人民医院

实用医院临床杂志

CSTPCD
影响因子:1.179
ISSN:1672-6170
年,卷(期):2024.21(4)