Subla Mir Rauf, Khan S Anjum, Behl Deepti, Peters Steve G
Department of Internal Medicine, Mayo Clinic College of Medicine, Rochester, MN 55905, USA.
Mayo Clin Proc. 2005 Jun;80(6):810-4. doi: 10.1016/S0025-6196(11)61537-1.
Severe sepsis may be associated with depression of myocardial function, attributed to various inflammatory mediators. Myocardial dysfunction in sepsis is characterized by biventricular failure and complicates usual therapy with high-volume fluid resuscitation and vasopressors. However, in patients who survive septic shock, myocardial dysfunction can improve rapidly. We describe a young woman with septic shock due to Streptococcus pneumoniae, complicated by severe but reversible biventricular dysfunction.
严重脓毒症可能与心肌功能抑制有关，这归因于多种炎症介质。脓毒症中的心肌功能障碍以双心室衰竭为特征，并且使大容量液体复苏和血管升压药的常规治疗复杂化。然而，在感染性休克存活的患者中，心肌功能障碍可迅速改善。我们描述了一名因肺炎链球菌导致感染性休克的年轻女性，并发严重但可逆的双心室功能障碍。
