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外科医生在心原性休克中的角色。

The Surgeon's Role in Cardiogenic Shock.

机构信息

Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

出版信息

Curr Heart Fail Rep. 2021 Aug;18(4):240-251. doi: 10.1007/s11897-021-00514-1. Epub 2021 May 6.

Abstract

PURPOSE OF REVIEW

Cardiogenic shock represents a very challenging patient population due to the undifferentiated pathologies presenting as cardiogenic shock, difficult decision-making, prognostication, and ever-expanding support options. The role of cardiac surgeons on this team is evolving.

RECENT FINDINGS

The implementation of a shock team is associated with improved outcomes in patients with cardiogenic shock. Early deployment of mechanical circulatory support devices may allow an opportunity to rescue these patients. Cardiothoracic surgeons are a critical component of the shock team who can deploy timely mechanical support and surgical intervention in selected patients for optimal outcomes.

摘要

目的综述

由于心源性休克表现为多种不同的病理,导致诊断困难,决策复杂,预后不佳,且支持治疗方案不断扩展,因此心源性休克患者是极具挑战性的人群。该团队中心脏外科医生的作用正在发生演变。

最新发现

休克团队的实施与心源性休克患者的预后改善相关。尽早使用机械循环支持设备可能为抢救这些患者提供机会。心胸外科医生是休克团队的关键组成部分,他们可以在有选择的患者中及时部署机械支持和手术干预,以获得最佳效果。

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