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从右心认知到右心管理:《重症右心功能管理专家共识》要点解读

朱然 王小亭 马晓春

朱然, 王小亭, 马晓春. 从右心认知到右心管理:《重症右心功能管理专家共识》要点解读[J]. 协和医学杂志, 2018, 9(5): 407-410. doi: 10.3969/j.issn.1674-9081.2018.05.006
引用本文: 朱然, 王小亭, 马晓春. 从右心认知到右心管理:《重症右心功能管理专家共识》要点解读[J]. 协和医学杂志, 2018, 9(5): 407-410. doi: 10.3969/j.issn.1674-9081.2018.05.006
Ran ZHU, Xiao-ting WANG, Xiao-chun MA. From Cognition to Management: Interpretation of Experts Consensus on the Management of the Right Heart Function in Critically Ill Patients[J]. Medical Journal of Peking Union Medical College Hospital, 2018, 9(5): 407-410. doi: 10.3969/j.issn.1674-9081.2018.05.006
Citation: Ran ZHU, Xiao-ting WANG, Xiao-chun MA. From Cognition to Management: Interpretation of Experts Consensus on the Management of the Right Heart Function in Critically Ill Patients[J]. Medical Journal of Peking Union Medical College Hospital, 2018, 9(5): 407-410. doi: 10.3969/j.issn.1674-9081.2018.05.006

从右心认知到右心管理:《重症右心功能管理专家共识》要点解读

doi: 10.3969/j.issn.1674-9081.2018.05.006
详细信息
    通讯作者:

    马晓春   电话:024-83283128, E-mail:xcma2972@sina.com

  • 中图分类号: R54;R-1

From Cognition to Management: Interpretation of Experts Consensus on the Management of the Right Heart Function in Critically Ill Patients

More Information
    Corresponding author: MA Xiao-chun    Tel: 024-83283128,E-mail:xcma2972@sina.com
  • 摘要: 《重症右心功能管理专家共识》是一部最早最全面的从重症角度出发进行右心功能管理的共识,该共识从右心病理生理、右心功能障碍相关疾病和右心功能管理3个层面进行阐述,将右心的前后负荷、舒张功能、收缩功能,其与体循环、肺循环、微循环以及与左心的关系一一清晰梳理,充分强调右心在重症血流动力学治疗理论中的地位,能够指导临床更好地理解、监测和管理右心功能。
  • [1] 王小亭, 刘大为, 张宏民.重症右心功能管理专家共识[J].中华内科杂志, 2017, 56:962-973. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zhnk201712020
    [2] Konstam MA, Kiernan MS, Bernstein D, et al.Evaluation and Management of Right-Sided Heart Failure: A Scientific Statement From the American Heart Association[J].Circulation, 2018, 137:e578-e622. doi:  10.1161/CIRCULATIONAHA.117.032207
    [3] Vallabhajosyula S, Kumar M, Pandompatam G, et al.Prognostic impact of isolated right ventricular dysfunction in sepsis and septic shock: an 8-year historical cohort study[J].Ann Intensive Care, 2017, 7:94. doi:  10.1186/s13613-017-0319-9
    [4] Guérin C.Acute cor pulmonale and the acute respiratory distress syndrome[J].Intensive Care Med, 2016, 42:934-936. doi:  10.1007/s00134-015-4197-z
    [5] Hrymak C, Strumpher J.Acute Right Ventricle Failure in the Intensive Care Unit: Assessment and Management[J].Can J Cardiol, 2017, 33:61-71. doi:  10.1016/j.cjca.2016.10.030
    [6] 张宏民, 刘大为.室间隔左移:"恃弱凌强"的治疗启示[J].中华内科杂志, 2017, 56:483-484. doi:  10.3760/cma.j.issn.0578-1426.2017.07.002
    [7] Galiè N, Humbert M, Vachiery JL, et al.2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension: The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS): Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation (ISHLT) [J].Eur Heart J, 2016, 37:67-119. doi:  10.1093/eurheartj/ehv317
    [8] De Backer D.Should we measure the central venous pressure to guide fluid management? Ten answers to 10 questions[J].Crit Care, 2018, 22:43. doi:  10.1186/s13054-018-1959-3
    [9] Via G, Hussain A, Wells M, et al.International evidence-based recommendations for focused cardiac ultrasound[J].J Am Soc Echocardiogr, 2014, 27:683. doi:  10.1016/S1567-4215(06)80158-X
    [10] Cecconi M, De Backer D, Antonelli M, et al.Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine[J].Intensive Care Med, 2014, 40:1795-1815. doi:  10.1007/s00134-014-3525-z
    [11] Vieillard-Baron A, Matthay M, Teboul JL, et al.Experts' opinion on management of hemodynamics in ARDS patients: focus on the effects of mechanical ventilation[J].Intensive Care Med, 2016, 42:739-749. doi:  10.1007/s00134-016-4326-3
    [12] 刘大为, 王小亭, 张宏民, 等.重症血流动力学治疗——北京共识[J].中华内科杂志, 2015, 54: 248-271. doi:  10.3760/cma.j.issn.0578-1426.2015.03.021
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出版历程
  • 收稿日期:  2018-06-14
  • 刊出日期:  2018-09-30

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