心源性休克,首选多巴胺 or 去甲肾?看这张表就够了!
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明确心源性休克的分类
心源性休克(CS)的定义我们都知道,是指心脏泵血功能衰竭导致心排血量减低、血压下降,引起重要脏器和组织灌注不足、全身性微循环功能障碍。常有四肢湿冷、意识淡漠等情况。
最常见的病因包括急性冠脉综合征和慢性心力衰竭急性失代偿,少见病因有急性暴发性心肌炎、急性肺栓塞、应激性心肌病、急性感染性心内膜炎、急性心包填塞、急性主动脉疾病等。
CI:心脏指数;SVR:体循环阻力;PCWP:肺毛细血管楔压
图片来源:作者提供
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根据分类,选取正确治疗
参考文献:
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[2] 韦丙奇, 邹长虹, 张健. 重视心源性休克 [J]. 中国实用内科杂志,2020,40(12):969-973.
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