Großmann Stefan, Geisreiter Florian, Schroll Stephan
Klinik für Pneumologie und konservative Intensivmedizin, Krankenhaus Barmherzige Brüder Regensburg, Prüfeninger Str. 86, 93049, Regensburg, Deutschland.
Med Klin Intensivmed Notfmed. 2023 Oct;118(7):527-533. doi: 10.1007/s00063-023-01002-1. Epub 2023 Apr 26.
Natriuretic peptides must be interpreted in their clinical context, especially in intensive care medicine. This overview presents the diagnostic, prognostic, and therapeutic significance of B‑type natriuretic peptide (BNP) and N‑terminal pro B‑type natriuretic peptide (NT-proBNP) in patients with cardiac dysfunction, kidney failure, sepsis, pulmonary embolism, acute respiratory distress syndrome (ARDS), acute exacerbations of chronic obstructive pulmonary disease (AECOPD), and weaning from a respirator.
利钠肽必须结合其临床背景进行解读,尤其是在重症医学领域。本综述阐述了B型利钠肽(BNP)和N末端B型利钠肽原(NT-proBNP)在心脏功能障碍、肾衰竭、脓毒症、肺栓塞、急性呼吸窘迫综合征(ARDS)、慢性阻塞性肺疾病急性加重(AECOPD)以及撤机患者中的诊断、预后和治疗意义。