Liu Lixia, Chao Yangong, Wang Xiaoting
1Department of Critical Care Medicine, the Fourth Hospital of Hebei Medical University, Shijiazhuang 05001, China.
2Department of Critical Care Medicine, the First Affiliated Hospital of Tsinghua University, Beijing 100016, China.
Aging Dis. 2022 Jul 11;13(4):1056-1062. doi: 10.14336/AD.2022.0105.
Improving organ perfusion is the aim of shock resuscitation; therefore, improving organ blood perfusion is a direct indicator for shock resuscitation. During shock, different organs have different capacities for blood flow autoregulation. The kidney is an important organ with excellent ability to autoregulate the blood flow and with vulnerability to poor organ perfusion, which places kidney perfusion in a position of necessity and priority relative to that of other organs in shock. Critical-care ultrasonography provides the best evaluation of renal perfusion.
改善器官灌注是休克复苏的目标；因此，改善器官血液灌注是休克复苏的直接指标。在休克期间，不同器官的血流自动调节能力不同。肾脏是一个重要器官，具有出色的血流自动调节能力，且易受器官灌注不良的影响，这使得肾脏灌注在休克时相对于其他器官而言处于必要且优先的地位。重症超声检查能对肾脏灌注进行最佳评估。
