血管压素缺乏导致了败血症休克的血管扩张
D W Landry1, H R Levin, E M Gallant
1Department of Medicine, Columbia University, College of Physicians & Surgeons, New York, NY 10032, USA.
Circulation
|March 4, 1997
概括
败血性休克患者的血管压素水平较低,导致低血压. 在这些患者中,输血压素的使用有效地提高了血压.
科学领域:
- 关键护理医学 关键护理医学
- 内分泌学 在内分泌学.
- 生理学 生理学 生理学
背景情况:
- 败血性休克的特征是全身血管扩张和低血压.
- 临床观察表明,血管压素的潜在缺乏导致了这种血管扩张.
研究的目的:
- 调查血管压素缺乏在败血症休克低血压中的作用.
- 确定静脉压素的管理是否可以改善败血性休克患者的血液动力学.
主要方法:
- 测量了性休克和心脏性休克患者的血压水平.
- 向性休克患者和监测血液动力学反应的患者给予外源性血管压素.
- 在一小部分患者中评估了压素停用和重新注射的效果.
主要成果:
- 与心脏性休克患者相比,患有败血性休克的患者血压水平显著降低.
- 输血压素的使用增加了性休克患者的动脉压和系统性血管抵抗.
- 输血压素的戒断导致低血压,而这种情况在输血压素给药后得到逆转.
结论:
- 不适当低的血管压素水平是血管扩张性败血症休克的特征,可能是由于巴罗反射分泌受损.
- 血管压素缺乏有助于在性休克中观察到的低血压.
- 外源性血管压素是感染性休克时有效的压缩剂.
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