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急性失代偿性心力衰竭的血液净化治疗 被引量:3

Blood purification in acute decompensated heart failure
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摘要 急性失代偿性心力衰竭是心脏结构或功能的改变而导致在生理情况下血液无法正常泵出和(或)回流,从而引起的心脏功能限制并且需要及时干预治疗的一组临床综合征。ADHF患者的主要临床表现是呼吸困难、疲乏无力、外周水肿,容量负荷过重和肺淤血症状,其住院期间病死率达到10.4%。治疗原则除了扩血管、正性肌力等治疗外,现行的指南推荐利尿剂为ADHF的一线治疗。利尿剂能充分清除血管内和血管外组织间隙过剩的体液,改善循环淤血和血流动力学, Acute decompensated heart failure remains a major public health issue.To the patients with ADHF,particularly with severe electrolyte disturbances,renal dysfunction,and hemodynamic instability,first-line drugs recommended by the current guidelines are often ineffective.Blood purification technology not only can effectively improve the retention of water and sodium,but also can remove small molecules such as creatinine,it has become one of the important treatment methods of ADHF.Based on the principle and mode of blood purification technology,this article reviews the indications,therapy timing,advantages and disadvantages of the treatment.
出处 《临床急诊杂志》 CAS 2017年第12期964-966,共3页 Journal of Clinical Emergency
关键词 急性失代偿性心力衰竭 血液净化 利尿剂 水钠潴留 acute decompensated heart failure blood purification diuretic water-sodium retention
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