外科理论与实践2023，Vol.28Issue(5)：409-414,6.DOI:10.16139/j.1007-9610.2023.05.03
心脏外科围术期的重症监护
Perioperative intensive care for cardiac surgery patients
刘华 1罗明豪 1屠国伟 1罗哲1
作者信息
- 1. 复旦大学附属中山医院心脏重症监护中心,上海 200032
- 折叠
摘要
Abstract
The rapid development of perioperative intensive care in cardiac surgery has greatly improved the prognosis for patients undergoing major cardiovascular surgery.In the field of hemodynamics,besides traditional methods,such as a variety of arterial catheters and central venous catheter,thermodilution and echocardiography have gradually becoming routines in hemodynamic monitoring,but their clinical values require further investigation.At the same time,optimizing micro-circulation,in order to meet the demand of oxygen and metabolism,is the goal of hemodynamic resuscitation.The management of V-A extracorporeal membrane oxygenation(ECMO)in the perioperative period of cardiac surgery depends on persistent hemodynamic monitoring.Volume management,vasoactive drugs,inotropes and vasodilators are still keys in pharmacological management.In addition,many mechanical circulatory assist devices have brought more treatments and hope for end-stage heart failure and severe cardiopulmonary dysfunction.关键词
重症监护/心脏外科/血流动力学/机械循环Key words
Intensive care/Cardiac surgery/Hemodynamics/Mechanical circulatory分类
医药卫生引用本文复制引用
刘华,罗明豪,屠国伟,罗哲..心脏外科围术期的重症监护[J].外科理论与实践,2023,28(5):409-414,6.
