血流动力学2024

Hemodynamics 2024

目前急危重症医学虽然取得了长足的发展,但是对休克的认知尚不完全,缺乏便捷、准确且有效的定量办法。为此,基于血流动力学理论和技术的进展,将血流动力学发展历程归纳为血压、容量、流量及氧代谢时代,并在此基础上进一步提出了离子时代的新概念。通过广泛回顾相关文献,提出通过测量红细胞内钠离子浓度的方法来评估血流动力学状态,从而使休克定量成为可能。

Although great progress has been made in acute and critical care medicine,the recognition of shock is still incomplete,and there is a lack of convenient,accurate and effective quantitative methods.Therefore,based on the progress of hemodynamic theory and technology,the development process of hemodynamic is summarized as the blood pressure era,volume era,flow era,oxygen metabolism era.On this basis,a new concept of ion age is proposed.Based on an extensive review of relevant literature,a method of measuring sodium concentration in red blood cells to assess hemodynamic status is proposed,which makes it possible to quantify shock.