心周压缩综合征:对一个有争议的实体的全面审查
Karan Sarode1, Amar Patel1, Kedzie Arrington1
1Department of Cardiovascular Medicine, Texas Tech University Health Sciences Center, El Paso, Texas.
概括
心周压缩综合征是一个有争议的实体,在心周液被移除后,会导致患者的病情恶化. 这篇综述分析了72例病例,揭示了各种心室功能障碍和呈现时间.
科学领域:
- 心脏病学 心脏病学
- 关键护理医学 关键护理医学
- 内部医学 内部医学
背景情况:
- 周心解压综合征 (PDS) 是一个有争议的临床实体,其特点是患者在周心液排水后的病情恶化.
- 潜在的病理生理机制包括负载前后负载不匹配,冠状动脉微血管缺血症和上腺应激.
研究的目的:
- 通过分析患者人口统计,输出病因,排水方法,液体体积,脱补偿时间和临床结果,系统地审查和描述PDS.
- 阐明PDS的病理生理学,临床表现和治疗策略.
主要方法:
- 使用MEDLINE/PubMed和谷歌学者数据库进行了系统的文献审查.
- 包括1983年至2022年12月以英语出版的案例报告,案例系列和综述文章.
- 分析了心声图和肺动脉导管数据,以评估72例确诊病例的腹腔功能障碍.
主要成果:
- 观察到表型异质性,右,左或双心脏衰竭发生在相似比例.
- 在即时,亚急性和急性表现中,脱补偿的时间一致.
- 临床表现不同,包括缺氧呼吸衰竭和休克.
结论:
- PDS呈现出多种心室功能障碍和一致的脱补偿时间,无论发病时间如何.
- 了解PDS病理生理学和结果对于管理这种高死亡率的疾病至关重要.
- 对治疗方案的进一步研究是有必要的.
关键词:
一个心脏坦波尼德.心血管疾病心血管疾病缺血缺血症是什么意思 缺血缺血症周心压缩减压综合征是什么这是心脏危险性心脏病.周心静止术 (pericardiostomy) 是一个心周静止术.冲击 冲击 冲击 冲击 冲击 冲击更多相关视频
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