Green Eric M, Givertz Michael M
Cardiovascular Division, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Curr Heart Fail Rep. 2012 Sep;9(3):228-35. doi: 10.1007/s11897-012-0104-x.
Acute failure of the right ventricle is a common challenge in the intensive care unit that is associated with significant morbidity and mortality. Although often a complication of left ventricular failure, right ventricular failure is a distinct clinical entity, both in terms of its hemodynamic abnormalities and response to treatment. Effective management of right ventricular failure must consider the unique properties of the right ventricle and the pulmonary circulation, and their response to common pharmacologic and mechanical interventions. In this review, we present a contemporary approach to patients with acute failure of the right ventricle including strategies for mechanical ventilation, hemodynamic management, and mechanical circulatory support.
右心室急性衰竭是重症监护病房中常见的难题，与显著的发病率和死亡率相关。尽管右心室衰竭常为左心室衰竭的并发症，但无论是从血流动力学异常还是对治疗的反应来看，它都是一种独特的临床病症。右心室衰竭的有效管理必须考虑右心室和肺循环的独特特性，以及它们对常见药物和机械干预的反应。在本综述中，我们提出了一种针对右心室急性衰竭患者的现代治疗方法，包括机械通气策略、血流动力学管理和机械循环支持。
