液体复苏对感染性休克患者继发肺水肿的影响

背景 有效循环血量减少是休克的核心病理生理过程,这也决定了液体复苏在休克治疗中的重要地位.但液体复苏在恢复有效循环血量同时可能会导致肺水肿加重,往往使休克的治疗面临进退两难的窘境.目的 现就感染性休克患者易发肺水肿的机制,如何针对感染性休克的病理生理过程制定液体复苏策略进行综述.内容 感染性休克患者易发肺水肿,液体复苏可能加重肺水肿,需要根据休克不同时期的病理生理特征实施不同的液体管理策略.趋向 根据休克不同时期的病理生理特征实施不同的液体管理策略.

Fluid management in pulmonary edema secondary to septic shock

Background Fluid resuscitation may be lifesaving in patients with shock for reversal of hypovolemia. On the other side, pulmonary edema often means volume overload and forces the volume therapy into a dilemma. Purpose This review mainly introduces fluid management in pulmonary edema secondary to septic shock. Content Pulmonary edema may represent volume overload and the treatment may run into a dilemma, thus, appropriate fluid management should be considered based on the different stages of septic shock. Trend Appropriate fluid management should be considered based on the different stages of septic shock.