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心脏手术后血管麻痹综合征研究进展

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摘要 血管麻痹综合征(vasoplegicsyndrome,VS)是以持续严重低血压、心脏排血量正常或升高、外周阻力降低、心动过速、低充盈压、且对补液反应欠佳为血流动力学特征的一种临床综合征,需要补液及缩血管药物治疗,多发生于心脏手术体外循环(CPB)后,且各年龄阶段均可发生。VS已经成为CPB后的一种严重并发症,持续严重低血压可导致心、脑、肝、肾等脏器灌注不足,引起恶性心律失常、脑水肿、肝损伤、肾功能不全、内环境紊乱等严重并发症,导致术后患者临床状况复杂、甚至死亡率增加。另外,
出处 《中华胸心血管外科杂志》 CSCD 北大核心 2014年第8期495-498,共4页 Chinese Journal of Thoracic and Cardiovascular Surgery
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