| 儿童急性肺源性心脏病的发病机制 |
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| 引用本文： | 罗黎力,乔莉娜.儿童急性肺源性心脏病的发病机制[J].中国小儿急救医学,2022(1). |
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| 作者姓名： | 罗黎力 乔莉娜 |
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| 作者单位： | 四川大学华西第二医院儿童重症医学科 |
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| 摘 要： | 急性肺源性心脏病通常继发于严重肺部疾病或肺循环障碍所导致的肺动脉高压,以急性右心功能障碍、右心衰竭为主要特征。其中,低氧血症、高碳酸血症及正压通气均可导致肺动脉高压的发生。在危重患儿救治过程中,特别是呼吸支持过程中,应早期识别急性肺源性心脏病,考虑实施以右心功能监护和保护为核心的"肺保护"及"循环保护"。
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| 关 键 词： | 急性肺源性心脏病 右心衰竭 发病机制 儿童 危重症 |
Pathogenesis of acute cor pulmonale in children |
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| Luo Lili,Qiao Lina.Pathogenesis of acute cor pulmonale in children[J].Chinese Pediatric Emergency Medicine,2022(1). |
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| Authors: | Luo Lili Qiao Lina |
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| Institution: | (Department of Critical Care Medicine,West China the 2nd University Hospital,Sichuan University,Chengdu 610041,China) |
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| Abstract: | Acute cor pulmonale,usually secondary to pulmonary hypertension induced from severe pulmonary diseases or pulmonary circulation disorders,is characterized by acute right heart dysfunction and right heart failure.Hypoxemia,hypercapnia and positive pressure ventilation can all lead to pulmonary hypertension.During the treatment of critically ill children,especially in the process of respiratory support,acute cor pulmonale should be identified as soon as possible to consider the implementation of"lung protection"and"circulation protection"with monitoring of right heart function and protection as the core. |
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| Keywords: | Acute cor pulmonale Right heart failure Pathogenesis Children Critical illness |
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