血流动力学相干性：代谢视角 - Suppr

Hemodynamic coherence: a metabolic perspective.

作者信息

Gruartmoner Guillem, Mesquida Jaume

机构信息

Department of Critical Care, Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT-CERCA), Universitat Autònoma de Barcelona, Parc Taulí, 1, 08208, Sabadell, Spain.

出版信息

Crit Care. 2025 Jul 9;29(1):293. doi: 10.1186/s13054-025-05546-w.

DOI:10.1186/s13054-025-05546-w

PMID:40635050

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12243237/

Abstract

摘要

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a05b/12243237/fae4b85bcd96/13054_2025_5546_Fig1_HTML.jpg

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Hemodynamic coherence: a metabolic perspective.血流动力学相干性：代谢视角

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Evaluating tissue hypoxia and the response to fluid administration in septic shock patients: a metabolic cluster analysis.评估脓毒性休克患者的组织缺氧和液体治疗反应：代谢聚类分析。

BMC Anesthesiol. 2024 Aug 5;24(1):273. doi: 10.1186/s12871-024-02662-y.

The future of intensive care: the study of the microcirculation will help to guide our therapies.重症监护的未来：微循环研究将有助于指导我们的治疗。

Crit Care. 2023 May 16;27(1):190. doi: 10.1186/s13054-023-04474-x.

Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021.拯救脓毒症运动：2021年脓毒症和脓毒性休克国际管理指南

Intensive Care Med. 2021 Nov;47(11):1181-1247. doi: 10.1007/s00134-021-06506-y. Epub 2021 Oct 2.

Monitoring coherence between the macro and microcirculation in septic shock.监测脓毒性休克的宏观和微循环之间的一致性。

Curr Opin Crit Care. 2020 Jun;26(3):267-272. doi: 10.1097/MCC.0000000000000729.

Central venous-to-arterial carbon dioxide difference combined with arterial-to-venous oxygen content difference (PCO/CO) reflects microcirculatory oxygenation alterations in early septic shock.中心静脉-动脉二氧化碳分压差与动静脉氧含量差（PCO/CO）反映了早期感染性休克时微循环氧合的改变。

J Crit Care. 2019 Oct;53:162-168. doi: 10.1016/j.jcrc.2019.06.013. Epub 2019 Jun 18.

Effect of a Resuscitation Strategy Targeting Peripheral Perfusion Status vs Serum Lactate Levels on 28-Day Mortality Among Patients With Septic Shock: The ANDROMEDA-SHOCK Randomized Clinical Trial.以外周灌注状态为目标的复苏策略与血清乳酸水平对感染性休克患者 28 天死亡率的影响：ANDROMEDA-SHOCK 随机临床试验。

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Ratios of central venous-to-arterial carbon dioxide content or tension to arteriovenous oxygen content are better markers of global anaerobic metabolism than lactate in septic shock patients.对于感染性休克患者，中心静脉与动脉血二氧化碳含量或分压之比以及动静脉血氧含量之比，是比乳酸更好的全身无氧代谢指标。

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Hemodynamic coherence: a metabolic perspective.

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