优化心脏外科手术患者内腹高血压的功能:专家意见
Vanessa Moll1,2, Ashish K Khanna3,4,5, Andrea Kurz6,7
1Department of Anesthesiology, Division of Critical Care Medicine, University of Minnesota, Minneapolis, MN, USA.
Perioperative medicine (London, England)
|July 12, 2024
概括
由于腹腔 perfusion 压力低,心脏手术患者可能会出现急性损伤 (AKI). 本综述研究了腹内高血压 (IAH) 和腹部部位综合征 (ACS) 作为导致AKI的因素.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
背景情况:
- 心脏手术相关的急性损伤 (CSA-AKI) 影响高达42%的患者.
- 腹腔内高血压 (IAH) 是CSA-AKI的一个经常被忽视的多因素原因.
- IAH降低了心脏输出,并压缩了血管和腹膜,导致腹部 perfusion 压力低.
研究的目的:
- 在AKI的背景下,审查IAH和腹部部位综合征 (ACS) 的病理生理学,诊断和治疗现有证据.
- 为了突出低腹部输液压和CSA-AKI之间的联系.
- 为心脏手术患者管理IAH和ACS提供专家意见.
主要方法:
- 关于心脏外科手术中IAH,ACS和AKI的最新研究的文献综述.
- 基于当前证据的专家意见综合.
- 分析腹腔 perfusion 压力,IAP 和结局之间的关系.
主要成果:
- 在心脏手术患者中经常观察到IAH.
- 由IAH引起的低腹 perfusion 压力与AKI的发生有关.
- 了解IAH病理生理学对于AKI的预防和管理至关重要.
结论:
- IAH和ACS是CSA-AKI的重要贡献者.
- 监测和管理IAP对于心脏手术患有AKI风险的患者至关重要.
- 需要进一步的研究来优化IAH和ACS在这个人群中的诊断和治疗策略.
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