脓毒症相关的高血压反应：是友还是敌？
Sepsis-related hypertensive response: friend or foe?
作者信息
Saleh Mohamed
机构信息
Department of Critical Care, Arras General Hospital, Arras, France.
出版信息
BMJ Case Rep. 2014 May 22;2014:bcr2014204610. doi: 10.1136/bcr-2014-204610.
Abstract
In daily practice acute arterial hypertension may occur during acute sepsis. No management guidelines concerning this issue figured in the latest sepsis campaign guidelines. Arterial hypertension occurring during sepsis could be an overlooked condition despite its potential haemodynamic harmful consequences. In this paper, a clinical study of acute hypertensive response related to sepsis is detailed. It shows that arterial hypertension, renal salt wasting and glomerular hyperfiltration can occur simultaneously during sepsis. Mechanisms and management options of sepsis-related arterial hypertensive response are also discussed.
摘要
在日常临床实践中，急性脓毒症期间可能会出现急性动脉高血压。最新的脓毒症治疗指南中没有关于这一问题的管理指南。脓毒症期间发生的动脉高血压尽管可能产生血流动力学有害后果，但仍可能是一种被忽视的情况。本文详细介绍了一项关于脓毒症相关急性高血压反应的临床研究。研究表明，脓毒症期间动脉高血压、肾性失盐和肾小球超滤可能同时发生。文中还讨论了脓毒症相关动脉高血压反应的机制和管理方案。
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