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心功能不全时胃肠道功能的保护及并发症的处理

章渭方

中国实用内科杂志2018,Vol.38Issue(1):12-15,19,5.
中国实用内科杂志2018,Vol.38Issue(1):12-15,19,5.DOI:10.19538/j.nk2018010104

心功能不全时胃肠道功能的保护及并发症的处理

Protection of gastrointestinal function and treatment for complications in patients with congestive heart failure

章渭方1

作者信息

  • 1. 浙江大学医学院附属第一医院重症医学科,浙江杭州310003
  • 折叠

摘要

Abstract

Congestive heart failure(CHF) is a clinical syndrome involving multiple organs,in which changes of gastrointestinal system function have aroused widespread concern.Gastrointestinal tract will prime lowly,gastrointestinal mucosa will have ischemia and hypoxia,intestinal barrier will have dysfunction,and intestinal bacteria will shift and intestinal endotoxemia will appear when heart failure occurs.Endotoxin activates the release of cytokines and inflammatory mediators in vivo,which can further cause intestinal barrier dysfunction and increase myocardial damage,thus forming a vicious circle,further deteriorating heart failure.Research at home and abroad has found,early intervention and treatment for heart failure combined with gastrointestinal dysfunction has a good effect in improving heart failure symptoms and preventing heart failure progress.

关键词

胃肠道系统/充血性心力衰竭

Key words

gastrointestinal system/congestive heart failure

分类

医药卫生

引用本文复制引用

章渭方..心功能不全时胃肠道功能的保护及并发症的处理[J].中国实用内科杂志,2018,38(1):12-15,19,5.

中国实用内科杂志

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1005-2194

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