超动态左心室喷射分数作为重症监护病房感染败血性休克患者死亡率的预测指标
Doaa Saeed Mohamed Hedia1, Hoda Omar Mahmoud1, Amr Mohamed AbdelFattah1
1Anesthesia, Intensive Care and Pain Management Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Heart & lung : the journal of critical care
|November 30, 2025
概括
在败血症患者中,高动态左心室喷射分数 (HDLVEF) 与死亡率的增加有关. 这种心声回声学发现可能有助于识别高风险个体,以便在重症监护机构进行早期干预.
科学领域:
- 心脏病学 心脏病学
- 临界护理医学 临界护理医学
- 败血症研究 败血症研究
背景情况:
- 超动态左心室 (射出分数≥70%) 与透静功能障碍有关,可能表明心力衰竭与保存的射出分数 (HFpEF).
- 败血症是一种危及生命的器官功能障碍,是由宿主对感染反应失调引起的.
研究的目的:
- 调查毒症重症患者的左心室射出分数 (HDLVEF) 的原因和预后影响.
主要方法:
- 分析了入住ICU的235名感染性休克患者.
- 败血症的诊断是基于序列器官衰竭评估 (SOFA) 的得分.
- 进行跨胸腔心声扫描 (TTE) 来评估心脏功能.
主要成果:
- 37.4%的患者在28天内死亡; 62.6%的人存活下来.
- 超动态EF在已故患者中明显更普遍 (OR 4.822),表明与死亡率有很强的关联.
- 死亡率的独立预测因素包括年龄较大,平均动脉压较低,SOFA得分较高和乳酸盐水平升高.
结论:
- 在重症毒症患者中,HDLVEF具有显著的预后价值.
- 它可以作为早期回声心脏学标志物用于败血症诱导的心肌病或心血管功能障碍.
- HDLVEF可以帮助评估风险,并为早期治疗决策提供信息.
关键词:
超动态的左心室喷射分数.在重症监护病房的重症监护病房.索法得分 索法得分败血栓冲击 败血栓冲击是一种疾病.胸间心脏回声仪 (Transthoracic Echocardiography) 是一种心脏回声仪.更多相关视频
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