中国血液净化

中国血液净化 ›› 2024, Vol. 23 ›› Issue (03): 161-164.doi: 10.3969/j.issn.1671-4091.2024.03.001

• 专家述评 •    下一篇

如何评估危重症患者的微循环状态

孙雪峰   

  1. 100853 北京，1解放军总医院第一医学中心肾脏病医学部 肾脏疾病国家重点实验室 慢性肾病国家临床医学研究中心
  • 收稿日期:2024-01-15 修回日期:2024-01-22 出版日期:2024-03-12 发布日期:2024-03-12
  • 通讯作者: 孙雪峰 E-mail:xfssun@126.com

How to assess the microcirculation status of critically ill patients?

SUN Xue-feng   

  1. Department of Nephrology, The First Medical Center of Chinese PLA General Hospital; State Key Laboratory of Kidney Diseases; National Clinical Research Center for Kidney Diseases, Beijing 100853, China
  • Received:2024-01-15 Revised:2024-01-22 Online:2024-03-12 Published:2024-03-12
  • Contact: 100853 北京，1解放军总医院第一医学中心肾脏病医学部 肾脏疾病国家重点实验室 慢性肾病国家临床医学研究中心 E-mail:xfssun@126.com

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摘要： 准确评估危重症患者微循环状态对指导液体复苏、血管活性药物使用以及肾脏替代治疗的临床决策等具有重要价值。本文基于循证证据介绍危重症患者微循环状态的常用评估方法、效应及注意事项，旨在为临床医生及时诊断微循环障碍，提高救治水平提供借鉴和参考。

关键词: 危重症, 微循环, 评估方法

Abstract: Accurate assessment of microcirculation status in critically ill patients is of great value in guiding clinical decisions on fluid resuscitation, the use of vasoactive medications, and renal replacement therapy. This article introduces the common methods, effects and precautions for evaluation of microcirculation status in these patients based on evidence-based evidence, aiming to provide guidance to diagnose microcirculation disorders in time and improve treatment levels.

Key words: Critical illness, Microcirculation, Evaluation method

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