Department of Intensive Care Medicine, Internal Postal Address 632, Radboud University Nijmegen Medical Centre, PO box 9101, 6500 HB Nijmegen, Netherlands.
Pediatrics. 2011 Sep;128(3):560-71. doi: 10.1542/peds.2010-2920. Epub 2011 Aug 8.
Circulatory shock is an important cause of pediatric morbidity and mortality and requires early recognition and prompt institution of adequate treatment protocols. Unfortunately, the hemodynamic status of the critically ill child is poorly reflected by physical examination, heart rate, blood pressure, or laboratory blood tests. Advanced hemodynamic monitoring consists, among others, of measuring cardiac output, predicting fluid responsiveness, calculating systemic oxygen delivery in relation to oxygen demand, and quantifying (pulmonary) edema. We discuss here the potential value of these hemodynamic monitoring technologies in relation to pediatric physiology.
循环休克是儿科发病率和死亡率的重要原因，需要早期识别和及时采用适当的治疗方案。不幸的是，体格检查、心率、血压或实验室血液检查都不能很好地反映重症患儿的血液动力学状态。高级血液动力学监测除其他外，还包括测量心输出量、预测液体反应性、计算与氧需求相关的全身氧输送量以及量化（肺）水肿。我们在这里讨论这些血液动力学监测技术与儿科生理学的关系的潜在价值。
