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心原性休克:发病机制、分类和管理。

Cardiogenic Shock: Pathogenesis, Classification, and Management.

机构信息

Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.

出版信息

Crit Care Clin. 2024 Jan;40(1):37-56. doi: 10.1016/j.ccc.2023.05.001. Epub 2023 Jul 6.

DOI:10.1016/j.ccc.2023.05.001
PMID:37973356
Abstract

Cardiogenic shock (CS) is a life-threatening circulatory failure syndrome which can progress rapidly to irreversible multiorgan failure through self-perpetuating pathophysiological processes. Recent developments in CS classification have highlighted its etiologic, mechanistic, and hemodynamic heterogeneity. Optimal CS management depends on early recognition, rapid reversal of the underlying cause, and prompt initiation of hemodynamic support.

摘要

心原性休克(CS)是一种危及生命的循环衰竭综合征,通过自我维持的病理生理过程可迅速进展为不可逆的多器官衰竭。CS 分类的最新进展强调了其病因、机制和血液动力学的异质性。CS 的最佳管理取决于早期识别、迅速逆转潜在病因以及及时开始血液动力学支持。

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