摘要
儿童重症肺炎无器质性心脏病者是否并发心力衰竭，目前存在争议。随着肺炎诊治策略的变迁，临床更重视肺炎合并呼吸衰竭、休克、心肌损伤等引起心力衰竭的病理生理过程，重视肺炎时心肺相互作用机制和全身炎症反应，根据不同病理生理机制，通过监测血流动力学状态来指导治疗。
It is still controversial whether or not the severe pneumonia is associated with heart failure in children. Currently, we pay more attention to the pathophysiological procedure of heart failure, such as pneumonia complicated with respiratory failure, shock and myocardial injury. Pay attention to the cardiopul- monary interaction mechanism and systemic inflammatory response. According to different pathophysiological mechanisms, guide the treatment by monitoring the hemodynarnic status.
作者
刘霜
任晓旭
Liu Shuang Ren Xiaoxu.(Department of Critical Care Medicine ,The Capital Institute of Pediatric Affiliated Children＇s Hospital ,Beijing 100020, China)
出处
《中国小儿急救医学》
CAS
2017年第3期166-170,共5页
Chinese Pediatric Emergency Medicine
关键词
肺炎
心力衰竭
儿童
机制
治疗
Pneumonia
Heart failure
Pediatrics
Pathogenesis
Treatment
