{"id":55089,"date":"2025-07-31T05:10:04","date_gmt":"2025-07-31T05:10:04","guid":{"rendered":"http:\/\/zydq.1006ss.com\/?p=55089"},"modified":"2025-07-31T05:10:04","modified_gmt":"2025-07-31T05:10:04","slug":"%e3%80%90%e9%87%8d%e7%82%b9%e6%96%87%e7%ab%a0%e6%8e%a8%e8%8d%90%e3%80%91%e9%87%8d%e7%97%87%e6%82%a3%e8%80%85%e7%9a%84%e8%a1%80%e5%8e%8b%e7%ae%a1%e7%90%86%e4%b8%93%e5%ae%b6%e5%85%b1%e8%af%86","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=55089","title":{"rendered":"\u3010\u91cd\u70b9\u6587\u7ae0\u63a8\u8350\u3011\u91cd\u75c7\u60a3\u8005\u7684\u8840\u538b\u7ba1\u7406\u4e13\u5bb6\u5171\u8bc6"},"content":{"rendered":"<p>2023\u5e74\u7b2c3\u671fJournal of Intensive Medicine\u520a\u53d1\u4e86\u672c\u520a\u603b\u7f16\u9648\u5fb7\u660c\u6559\u6388\u53d1\u8d77\uff0c\u8054\u5408\u4e2d\u534e\u533b\u5b66\u4f1a\u91cd\u75c7\u533b\u5b66\u5206\u4f1a\u591a\u540d\u4e13\u5bb6\u64b0\u5199\u4e86\u4e13\u5bb6\u5171\u8bc6\uff1aExpert consensus on blood pressure management in critically ill patients\u3002\u6211\u4eec\u5c06\u5171\u8bc6\u4e3b\u8981\u63a8\u8350\u610f\u89c1\u8fdb\u884c\u4e86\u7ffb\u8bd1\uff0c\u65b9\u4fbf\u5927\u5bb6\u5feb\u901f\u4e86\u89e3\u6587\u7ae0\u5185\u5bb9\u3002<\/p>\n<\/p>\n<p>&nbsp; &nbsp;\u91cd\u75c7\u60a3\u8005\u7684\u8840\u538b\u76d1\u6d4b\u65b9\u6cd5\u548c\u836f\u7269\u4ecb\u7ecd\u91cd\u75c7\u60a3\u8005\u8840\u538b\u63a7\u5236\u7684\u76d1\u6d4b\u65b9\u6cd5<\/p>\n<p>\u95ee\u98981\uff1a\u91cd\u75c7\u60a3\u8005\u7684\u52a8\u8109\u538b\u76d1\u6d4b\uff0c\u54ea\u79cd\u65b9\u6cd5\u66f4\u5408\u9002\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c11\uff1a\u5bf9\u4e8e\u9700\u8981\u8840\u7ba1\u5347\u538b\u836f\u7684\u4f4e\u8840\u538b\u60a3\u8005\u6216\u9700\u8981\u7d27\u6025\u5e72\u9884\u7684\u9ad8\u8840\u538b\u7d27\u6025\u60c5\u51b5\uff0c\u6211\u4eec\u5efa\u8bae\u9996\u9009\u6709\u521b\u52a8\u8109\u538b\u76d1\u6d4b\uff082+ 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mmHg\uff081+ \u7ea7\uff0c\u5f3a\u70c8\u63a8\u8350\uff09\u3002<\/p>\n<p>\u95ee\u98984\uff1a\u6709\u6162\u6027\u9ad8\u8840\u538b\u75c5\u53f2\u7684\u8113\u6bd2\u6027\u4f11\u514b\u60a3\u8005\u521d\u59cb\u590d\u82cf\u65f6\u7684\u8840\u538b\u76ee\u6807\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c14\uff1a\u5bf9\u4e8e\u6709\u6162\u6027\u9ad8\u8840\u538b\u75c5\u53f2\u7684\u8113\u6bd2\u6027\u4f11\u514b\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u521d\u59cbMAP\u5e94\u4fdd\u6301\u572880\u201385 mmHg\u6216\u6b63\u5e38\u6c34\u5e73\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002<\/p>\n<p>\u95ee\u98985\uff1a\u8113\u6bd2\u6027\u4f11\u514b\u60a3\u8005\u5e94\u7ef4\u6301\u7684\u8212\u5f20\u538b\u76ee\u6807\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c15\uff1a\u5bf9\u4e8e\u8113\u6bd2\u6027\u4f11\u514b\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u8212\u5f20\u538b\u5e94\u7ef4\u6301\u5728&gt;50 mmHg\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002<\/p>\n<p>\u95ee\u98986\uff1a\u5bf9\u4e8e\u8113\u6bd2\u6027\u4f11\u514b\u60a3\u8005\uff0c\u5e94\u8be5\u9009\u62e9\u54ea\u79cd\u8840\u7ba1\u5347\u538b\u836f\u6765\u7ef4\u6301\u76ee\u6807\u8840\u538b\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c16\uff1a\uff08a\uff09\u5bf9\u4e8e\u8113\u6bd2\u6027\u4f11\u514b\u60a3\u8005\uff0c\u63a8\u8350\u5c06\u53bb\u7532\u80be\u4e0a\u817a\u7d20\u4f5c\u4e3a\u9996\u9009\u8840\u7ba1\u5347\u538b\u836f\uff081+ \u7ea7\uff0c\u5f3a\u70c8\u63a8\u8350\uff09\uff1b\uff08b\uff09 \u5bf9\u4e8e\u9700\u8981\u53bb\u7532\u80be\u4e0a\u817a\u7d20\u7684\u8113\u6bd2\u6027\u4f11\u514b\u60a3\u8005\uff0c\u5982\u679c\u4e0d\u80fd\u8fbe\u5230\u76ee\u6807MAP\uff0c\u6211\u4eec\u5efa\u8bae\u8054\u7528\u52a0\u538b\u7d20\uff0c\u800c\u4e0d\u662f\u4e00\u5473\u5730\u589e\u52a0\u53bb\u7532\u80be\u4e0a\u817a\u7d20\u5242\u91cf\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002<\/p>\n<p>\u5931\u8840\u6027\u4f11\u514b\u60a3\u8005\u7684\u8840\u538b\u7ba1\u7406<\/p>\n<p>\u95ee\u98987\uff1a\u5931\u8840\u6027\u4f11\u514b\u60a3\u8005\u5728\u51fa\u8840\u5f97\u5230\u63a7\u5236\u524d\u7684\u76ee\u6807\u8840\u538b\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c17\uff1a\uff08a\uff09\u5bf9\u4e8e\u6ca1\u6709\u521b\u4f24\u6027\u8111\u635f\u4f24\uff08TBI\uff09\u7684\u521b\u4f24\u5931\u8840\u6027\u4f11\u514b\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u91c7\u7528\u5141\u8bb8\u6027\u4f4e\u8840\u538b\u7b56\u7565\uff08\u6536\u7f29\u538b[SBP]\u226570 mmHg\uff0cMAP 50-60 mmHg\uff09\uff0c\u76f4\u5230\u51fa\u8840\u5f97\u5230\u63a7\u5236\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002\uff08b\uff09 \u5bf9\u4e8e\u5b58\u5728\u4e25\u91cd\u521b\u4f24\u6027\u8111\u635f\u4f24\u7684\u5931\u8840\u6027\u4f11\u514b\u60a3\u8005\uff08\u683c\u62c9\u65af\u54e5\u660f\u8ff7\u8bc4\u5206[GCS]\u22648\uff09\uff0c\u6211\u4eec\u5efa\u8bae\u628aSBP\u7ef4\u6301\u5728&gt;90mmHg\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002<\/p>\n<p>\u95ee\u98988\uff1a\u5931\u8840\u6027\u4f11\u514b\u60a3\u8005\u521d\u59cb\u590d\u82cf\u65f6\u7684\u76ee\u6807\u8840\u538b\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c18\uff1a\u5bf9\u4e8e\u5931\u8840\u6027\u4f11\u514b\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u521d\u59cb\u590d\u82cf\u7684\u76ee\u6807MAP\u76f8\u5bf9\u8f83\u4f4e\uff0c\u4e3a60-70 mmHg\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002\u5fc3\u6e90\u6027\u4f11\u514b\u60a3\u8005\u7684\u8840\u538b\u7ba1\u7406<\/p>\n<p>\u95ee\u98989\uff1a\u5fc3\u6e90\u6027\u4f11\u514b\u60a3\u8005\u7684\u521d\u59cb\u8840\u538b\u76ee\u6807\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c19\uff1a\u5bf9\u4e8e\u9700\u8981\u8840\u7ba1\u5347\u538b\u836f\u7684\u5fc3\u6e90\u6027\u4f11\u514b\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u76ee\u6807MAP\u4e3a65-70 mmHg\uff082+\u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002<\/p>\n<p>\u95ee\u989810\uff1a\u5bf9\u4e8e\u5fc3\u6e90\u6027\u4f11\u514b\u60a3\u8005\uff0c\u8212\u5f20\u538b\u5e94\u7ef4\u6301\u5728\u4ec0\u4e48\u6c34\u5e73\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c110\uff1a\u6211\u4eec\u5efa\u8bae\u5c06\u5fc3\u6e90\u6027\u4f11\u514b\u60a3\u8005\u7684\u76ee\u6807\u8212\u5f20\u538b\u7ef4\u6301\u572860 mmHg\u4ee5\u4e0a\uff08\u4e13\u5bb6\u610f\u89c1\uff09\u3002<\/p>\n<p>\u95ee\u989811\uff1a\u9700\u8981\u52a8-\u9759\u8109\u4f53\u5916\u819c\u80ba\u6c27\u5408\uff08VA-ECMO\uff09\u7684\u5fc3\u6e90\u6027\u4f11\u514b\u60a3\u8005\uff0c\u5176\u521d\u59cb\u8840\u538b\u76ee\u6807\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c111\uff1a\u5bf9\u4e8e\u9700\u8981VA-ECMO\u8f85\u52a9\u7684\u5fc3\u6e90\u6027\u4f11\u514b\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u5176\u521d\u59cb\u76ee\u6807\u8840\u538b\u4e3aMAP\u226565 mmHg\uff08\u4e13\u5bb6\u610f\u89c1\uff09\u3002\u91cd\u75c7\u60a3\u8005\u548c\u9ad8\u8840\u538b\u6025\u75c7\u60a3\u8005\uff0c\u53d1\u751f\u9ad8\u8840\u538b\u65f6\u7684\u7ba1\u7406<\/p>\n<p>\u95ee\u989812\uff1a\u54ea\u4e9b\u6025\u6027\u548c\u91cd\u5ea6\u8840\u538b\u5347\u9ad8\u7684\u60a3\u8005\u5e94\u8be5\u5165\u4f4fICU\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c112\uff1a\u6211\u4eec\u5efa\u8bae\u6025\u6027\u53d1\u4f5c\u7684SBP&gt;180 mmHg\u548c\/\u6216DBP&gt;110 mmHg\u5e76\u4f34\u6709\u5668\u5b98\u529f\u80fd\u969c\u788d\u7684\u60a3\u8005\u5e94\u5165\u4f4fICU\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002<\/p>\n<p>\u95ee\u989813\uff1a\u5165\u4f4fICU\u7684\u91cd\u5ea6\u9ad8\u8840\u538b\u60a3\u8005\uff0c\u662f\u5426\u9700\u8981\u5e38\u89c4\u964d\u538b\u6cbb\u7597\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c113\uff1a\u6211\u4eec\u5efa\u8baeSBP&gt;180 mmHg\u548c\/\u6216DBP&gt;110 mmHg\u5e76\u4f34\u6709\u5668\u5b98\u529f\u80fd\u969c\u788d\u7684\u60a3\u8005\u5e94\u9759\u8109\u6ce8\u5c04\u964d\u538b\u836f\u7269\u6cbb\u7597\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002<\/p>\n<p>\u95ee\u989814\uff1a\u5bf9\u4e8e\u5165\u4f4fICU\u7684\u6025\u6027\u91cd\u5ea6\u9ad8\u8840\u538b\u60a3\u8005\uff0c\u964d\u538b\u901f\u5ea6\u5e94\u8be5\u5982\u4f55\u8bbe\u7f6e\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c114\uff1a\u5bf9\u4e8e\u6025\u6027\u91cd\u5ea6\u9ad8\u8840\u538b\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u91c7\u7528\u9010\u6b65\u964d\u538b\u6cbb\u7597\u7b56\u7565\u3002\u9664\u6025\u6027\u4e3b\u52a8\u8109\u5939\u5c42\u5916\uff0cSBP\u7684\u4e0b\u964d\u5728\u7b2c\u4e00\u5c0f\u65f6\u5185\u4e0d\u5e94\u8d85\u8fc725%\uff0c\u7136\u540e\u5728\u63a5\u4e0b\u6765\u76842-6\u5c0f\u65f6\u5185\u964d\u81f3160\/100\u2013110 mmHg\uff0c\u5e76\u5728\u63a5\u4e0b\u6765\u768424-48\u5c0f\u65f6\u5185\u8c28\u614e\u5730\u964d\u81f3\u6b63\u5e38\u6c34\u5e73\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002<\/p>\n<p>\u5177\u4f53\u75be\u75c5\u7c7b\u578b\u91cd\u75c7\u60a3\u8005\u7684\u9ad8\u8840\u538b\u7ba1\u7406\u8179\u8154\u9694\u5ba4\u7efc\u5408\u5f81\u60a3\u8005\u7684\u8840\u538b\u7ba1\u7406<\/p>\n<p>\u95ee\u989815\uff1a\u5728\u5408\u5e76\u6709\u8179\u8154\u5185\u9ad8\u538b\u7684\u60a3\u8005\u4f11\u514b\u590d\u82cf\u671f\u95f4\uff0c\u662f\u5426\u53ef\u4ee5\u7528\u8179\u8154\u704c\u6ce8\u538b\u4ee3\u66ffMAP\u4f5c\u4e3a\u4f11\u514b\u590d\u82cf\u7684\u7ec8\u70b9\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c115\uff1a\u5bf9\u4e8e\u8179\u8154\u5185\u9ad8\u538b\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u5728\u63a7\u5236\u8179\u5185\u538b\u7684\u57fa\u7840\u4e0a\u5c06\u8179\u8154\u5185\u704c\u6ce8\u538b\u529b\u7ef4\u6301\u572860mmHg\uff08\u4e13\u5bb6\u610f\u89c1\uff09\u3002<\/p>\n<p>\u91cd\u578b\u9885\u8111\u635f\u4f24\u60a3\u8005\u7684\u8840\u538b\u7ba1\u7406<\/p>\n<p>\u95ee\u989816\uff1a\u4e2d\u5ea6\u81f3\u91cd\u5ea6\u521b\u4f24\u6027\u8111\u635f\u4f24\u60a3\u8005\u7684\u76ee\u6807\u8840\u538b\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c116\uff1a\u5bf9\u4e8e\u4f4e\u8840\u538b\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u7ef4\u6301SBP&gt;100 mmHg\u548cMAP&gt;80 mmHg\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002\u5bf9\u4e8e\u9ad8\u8840\u538b\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u5c06\u6536\u7f29\u538b\u4fdd\u6301\u5728&lt;160 mmHg\uff0c\u6ce8\u91cd\u5176\u8bf1\u53d1\u56e0\u7d20\u5e76\u8fdb\u884c\u75c5\u56e0\u6cbb\u7597\uff08\u4e13\u5bb6\u610f\u89c1\uff09\u3002<\/p>\n<p>\u95ee\u989817\uff1a\u5982\u4f55\u5bf9\u521b\u4f24\u6027\u8111\u635f\u4f24\u60a3\u8005\u7684\u76ee\u6807\u8840\u538b\u8fdb\u884c\u4e2a\u4f53\u5316\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c117\uff1a\u6211\u4eec\u5efa\u8bae\u6839\u636e\u9885\u5185\u538b\uff08ICP\uff09\u548c\u8111\u704c\u6ce8\u538b\uff08CPP\uff09\u5bf9\u521b\u4f24\u6027\u8111\u635f\u4f24\u60a3\u8005\u8bbe\u5b9a\u4e2a\u4f53\u5316\u7684\u8840\u538b\u76ee\u6807\u3002\u7ecf\u9a8c\u4e30\u5bcc\u7684\u533b\u7597\u5355\u4f4d\u53ef\u4ee5\u8fdb\u884c\u591a\u6a21\u6001\u76d1\u6d4b\uff08\u4e13\u5bb6\u610f\u89c1\uff09\u3002<\/p>\n<p>\u8111\u5352\u4e2d\u60a3\u8005\u7684\u8840\u538b\u7ba1\u7406<\/p>\n<p>\u95ee\u989818\uff1a\u5bf9\u4e8e\u6ca1\u6709\u9759\u8109\u6eb6\u6813\u6216\u673a\u68b0\u53d6\u8840\u6813\u672f\u7684\u6025\u6027\u7f3a\u8840\u6027\u5352\u4e2d\u60a3\u8005\uff0c\u5176\u76ee\u6807\u8840\u538b\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c118\uff1a\u5bf9\u4e8e\u6ca1\u6709\u9759\u8109\u6eb6\u6813\u548c\u673a\u68b0\u53d6\u6813\u672f\u7684\u6025\u6027\u7f3a\u8840\u6027\u5352\u4e2d\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u5982\u679c\u6536\u7f29\u538b\u2265220 mmHg\u548c\/\u6216\u8212\u5f20\u538b\u2265120 mmHg\uff0c\u5219\u5f00\u59cb\u964d\u8840\u538b\u6cbb\u7597\uff0c\u5e76\u572824\u5c0f\u65f6\u5185\u5c06\u6536\u7f29\u538b\u964d\u4f4e10-25%\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002<\/p>\n<p>\u95ee\u989819\uff1a\u63a5\u53d7\u9759\u8109\u6eb6\u6813\u6cbb\u7597\u7684\u6025\u6027\u7f3a\u8840\u6027\u8111\u5352\u4e2d\u60a3\u8005\u7684\u76ee\u6807\u8840\u538b\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c119\uff1a\u5728\u9759\u8109\u6eb6\u6813\u524d\uff0c\u5982\u679c\u8840\u538b\u2265180\/105 mmHg\uff0c\u6211\u4eec\u5efa\u8bae\u5f00\u59cb\u964d\u8840\u538b\u6cbb\u7597\u3002\u6eb6\u6813\u518d\u901a\u540e\uff0c\u6211\u4eec\u5efa\u8bae\u628aSBP\u7ef4\u6301\u5728130\u2013140 mmHg\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002<\/p>\n<p>\u95ee\u989820\uff1a\u6025\u6027\u7f3a\u8840\u6027\u5352\u4e2d\u60a3\u8005\u673a\u68b0\u53d6\u6813\u672f\u540e\u7684\u76ee\u6807\u8840\u538b\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c120\uff1a\u6211\u4eec\u5efa\u8bae\u5728\u673a\u68b0\u53d6\u6813\u672f\u540e24\u5c0f\u65f6\u5185\u5c06\u6536\u7f29\u538b\u7ef4\u6301\u5728130\u2013140 mmHg\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002<\/p>\n<p>\u95ee\u989821\uff1a\u6025\u6027\u8111\u51fa\u8840\u60a3\u8005\u7684\u76ee\u6807\u8840\u538b\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c121\uff1a\u5982\u679c\u6536\u7f29\u538b\u4e3a150\u2013220 mmHg\uff0c\u6211\u4eec\u5efa\u8bae\u5c06\u6536\u7f29\u538b\u4fdd\u6301\u5728130\u2013140 mmHg\u5185\uff1b\u5982\u679c\u6536\u7f29\u538b&gt;220 mmHg\uff0c\u5219\u5c06\u6536\u7f29\u538b\u7ef4\u6301\u5728140\u2013180 mmHg\u8303\u56f4\u5185\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002<\/p>\n<p>\u95ee\u989822\uff1a\u6536\u7f29\u538b\uff08SBP\uff09\u6ce2\u52a8\u53d8\u5316\u662f\u5426\u5f71\u54cd\u6025\u6027\u8111\u51fa\u8840\u9ad8\u8840\u538b\u60a3\u8005\u7684\u9884\u540e\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c122\uff1aSBP\u7684\u9ad8\u5ea6\u6ce2\u52a8\u53d8\u5316\u4e0e\u4e0d\u826f\u9884\u540e\u6709\u5173\u3002\u56e0\u6b64\uff0c\u6211\u4eec\u5efa\u8bae\u8fdb\u884c\u6301\u7eed\u3001\u4e00\u8d2f\u7684\u964d\u538b\u6cbb\u7597\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002<\/p>\n<p>\u86db\u7f51\u819c\u4e0b\u8154\u51fa\u8840\uff08SAH\uff09\u60a3\u8005\u7684\u8840\u538b\u7ba1\u7406<\/p>\n<p>\u95ee\u989823\uff1aSAH\u60a3\u8005\u7684\u8840\u538b\u76ee\u6807\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c123\uff1a\u6ca1\u6709\u660e\u786e\u7684\u8bc1\u636e\u652f\u6301\u6025\u6027SAH\u60a3\u8005\u7684\u964d\u538b\u5e45\u5ea6\u548c\u6700\u4f73\u8840\u538b\u6c34\u5e73\uff0c\u5728\u5904\u7406\u52a8\u8109\u7624\u524d\uff0c\u63a8\u8350\u8840\u538b\u76ee\u6807\u63a7\u5236\u6536\u7f29\u538b\u5728160 mmHg\u4ee5\u4e0b\uff0cMAP\u4fdd\u6301\u572880 mmHg\u5de6\u53f3\uff1b\u5904\u7406\u4e86\u52a8\u8109\u7624\u540e\uff0c\u8840\u538b\u7ba1\u7406\u5e94\u6839\u636e\u57fa\u7840\u8840\u538b\u548c\u8111\u591a\u6a21\u6001\u76d1\u6d4b\u8fdb\u884c\u4e2a\u4f53\u5316\uff0c\u4ee5\u786e\u5b9a\u4e2a\u4f53\u5316\u7684\u6700\u4f73\u8840\u538b\u3002\u5728\u53d1\u751f\u8fdf\u53d1\u6027\u8111\u7f3a\u8840\uff08DCI\uff09\u7684\u60c5\u51b5\u4e0b\uff0c\u6839\u636e\u60c5\u51b5\uff0c\u53ef\u80fd\u9700\u8981\u628a\u8840\u538b\u76ee\u6807\u5347\u9ad820%\u3002\uff082+ \u7ea7\uff0c\u5f3a\u70c8\u63a8\u8350\uff0c\u8bc1\u636e\u7b49\u7ea7B\uff09\uff1b\u6211\u4eec\u4e0d\u63a8\u8350\u5e38\u89c4\u4f7f\u7528\u201c3H\u7597\u6cd5\u201d\u6765\u9884\u9632\u548c\u6cbb\u7597DCI\u3002\uff082- \u7ea7\uff0c\u5f3a\u70c8\u63a8\u8350\uff0c\u8bc1\u636e\u7b49\u7ea7B\uff09\u3002\uff08\u6ce8:3H\u7597\u6cd5(triple-H therapy): \u5373\u6269\u8840\u5bb9\u91cf\u3001\u8840\u6db2\u7a00\u91ca\u548c\u5347\u9ad8\u8840\u538b\u9884\u9632\u8111\u8840\u7ba1\u75c9\u631b\u3002\uff09<\/p>\n<p>\u6025\u6027\u80be\u635f\u4f24\uff08AKI\uff09\u60a3\u8005\u7684\u8840\u538b\u7ba1\u7406<\/p>\n<p>\u95ee\u989824\uff1a\u6ca1\u6709\u9ad8\u8840\u538b\u75c5\u53f2\u7684AKI\u60a3\u8005\u7684\u76ee\u6807\u8840\u538b\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c124\uff1a\u6211\u4eec\u5efa\u8bae\u5bf9\u4e8e\u6ca1\u6709\u9ad8\u8840\u538b\u75c5\u53f2\u7684AKI\u60a3\u8005\u7ef4\u6301MAP\u226565 mmHg\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002<\/p>\n<p>\u95ee\u989825\uff1a\u6709\u9ad8\u8840\u538b\u75c5\u53f2\u7684AKI\u60a3\u8005\u7684\u76ee\u6807MAP\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c125\uff1a\u5bf9\u4e8e\u6709\u9ad8\u8840\u538b\u75c5\u53f2\u7684AKI\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8bae\u5c06MAP\u7ef4\u6301\u572880\u201385 mmHg\u6216\u57fa\u7840\u8840\u538b\u6c34\u5e73\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002<\/p>\n<p>\u95ee\u989826\uff1a\u4e3a\u4e86\u907f\u514dAKI\u7684\u53d1\u751f\u6216\u8fdb\u5c55\uff0c\u91cd\u75c7\u60a3\u8005\u7684\u80be\u704c\u6ce8\u538b\uff08RPP\uff09\u76ee\u6807\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c126\uff1a\u91cd\u75c7\u60a3\u8005\u7684RPP\u5e94\u7ef4\u6301\u5728\u226560mmHg\uff0c\u4ee5\u907f\u514dAKI\u7684\u53d1\u751f\u6216\u8fdb\u5c55\u3002\u5982\u679c\u53ef\u80fd\u7684\u8bdd\uff0c\u6211\u4eec\u5efa\u8bae\u6839\u636eRPP\u6ef4\u5b9a\u8840\u538b\u6c34\u5e73\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002<\/p>\n<p>\u95ee\u989827\uff1a\u63a5\u53d7\u6301\u7eed\u80be\u810f\u66ff\u4ee3\u6cbb\u7597\uff08CRRT\uff09\u7684\u91cd\u75c7\u60a3\u8005\u7684\u76ee\u6807\u8840\u538b\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c127\uff1aCRRT\u671f\u95f4\u4f4e\u8840\u538b\u4e0e\u9ad8\u6b7b\u4ea1\u98ce\u9669\u76f8\u5173\u3002\u56e0\u6b64\uff0c\u6211\u4eec\u5efa\u8bae\u5c06RPP\u226560mmHg\u4f5c\u4e3a\u4e00\u4e2a\u5408\u7406\u7684\u76ee\u6807\uff08\u4e13\u5bb6\u610f\u89c1\uff09\u3002\uff08\u6ce8\uff1aRPP=MAP-CVP\uff09<\/p>\n<p>\u5fc3\u810f\u5916\u79d1\u56f4\u624b\u672f\u671f\u7684\u8840\u538b\u7ba1\u7406<\/p>\n<p>\u95ee\u989828\uff1a\u51a0\u72b6\u52a8\u8109\u642d\u6865\uff08CABG\uff09\u672f\u540e\u7684\u76ee\u6807\u8840\u538b\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c128\uff1a\u6211\u4eec\u5efa\u8baeCABG\u672f\u540e\u60a3\u8005\u4fdd\u6301MAP\u226570mmHg\uff0c\u4ee5\u786e\u4fdd\u5fc3\u808c\u704c\u6ce8\uff08\u4e13\u5bb6\u610f\u89c1\uff09\u3002<\/p>\n<p>\u95ee\u989829\uff1a\u4e3b\u52a8\u8109\u5939\u5c42\u60a3\u8005\u56f4\u672f\u671f\u7684\u76ee\u6807\u8840\u538b\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c129\uff1a\u6211\u4eec\u5efa\u8bae\u4e3b\u52a8\u8109\u5939\u5c42\u60a3\u8005\u56f4\u672f\u671fSBP\u5e94\u63a7\u5236\u5728100\u2013120 mmHg\u3002\u5fc3\u7387\u5e94\u63a7\u5236\u5728\u7ea660\u6b21\/\u5206\u3002\u5728\u9632\u6b62\u5939\u5c42\u7834\u88c2\u548c\u51fa\u8840\u7684\u524d\u63d0\u4e0b\uff0c\u518d\u8003\u8651\u91cd\u8981\u5668\u5b98\u7684\u704c\u6ce8\u5e94\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002<\/p>\n<p>\u95ee\u989830\uff1a\u5de6\u5fc3\u5ba4\u8f85\u52a9\u88c5\u7f6e\uff08LVAD\uff09\u690d\u5165\u540e\u7684\u76ee\u6807\u8840\u538b\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c130\uff1a\u6211\u4eec\u5efa\u8bae\u5728LVAD\u690d\u5165\u540e\u5c06MAP\u7ef4\u6301\u572870\u201380 mmHg\uff0c\u56e0\u4e3a\u9ad8\u8840\u538b\u53ef\u80fd\u4e0e\u795e\u7ecf\u9884\u540e\u4e0d\u826f\u6709\u5173\uff082+\u7ea7\uff0c\u5f31\u5efa\u8bae\uff09\u3002<\/p>\n<p>\u975e\u5fc3\u810f\u624b\u672f\u60a3\u8005\u672f\u540e\u8840\u538b\u7ba1\u7406<\/p>\n<p>\u95ee\u989831\uff1a\u975e\u5fc3\u810f\u624b\u672f\u60a3\u8005\u672f\u540e\u662f\u5426\u9700\u8981\u8840\u538b\u76d1\u6d4b\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c131\uff1a\u5bf9\u4e8e\u8840\u6d41\u52a8\u529b\u5b66\u7a33\u5b9a\u7684\u60a3\u8005\uff0c\u63a8\u8350\u5e38\u89c4\u8fdb\u884c\u65e0\u521b\u8840\u538b\uff08NIBP\uff09\u76d1\u6d4b\u3002\u5bf9\u4e8e\u8840\u6d41\u52a8\u529b\u5b66\u4e0d\u7a33\u5b9a\u7684\u60a3\u8005\uff0c\u5e94\u8fdb\u884c\u6709\u521b\u52a8\u8109\u8840\u538b\uff08IBP\uff09\u76d1\u6d4b\uff08\u4e13\u5bb6\u610f\u89c1\uff09\u3002<\/p>\n<p>\u95ee\u989832\uff1a\u542f\u52a8\u8840\u538b\u7ba1\u7406\u7684\u8840\u538b\u9608\u503c\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c132\uff1a\u5bf9\u4e8e\u4f4e\u8840\u538b\u60a3\u8005\uff0c\u5f00\u59cb\u8840\u538b\u7ba1\u7406\u7684\u9608\u503c\u662fMAP&lt;65 mmHg\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\u3002\u5bf9\u4e8e\u9ad8\u8840\u538b\u60a3\u8005\uff0c\u5f00\u59cb\u8840\u538b\u7ba1\u7406\u7684\u9608\u503c\u662fSBP&gt;180 mmHg\u6216DBP&gt;110 mmHg\uff0c\u4ee5\u8f83\u9ad8\u8005\u4e3a\u51c6\uff08\u4e13\u5bb6\u610f\u89c1\uff09\u3002<\/p>\n<p>\u95ee\u989833\uff1a\u63a5\u53d7\u975e\u5fc3\u810f\u624b\u672f\u7684\u60a3\u8005\u5e94\u5982\u4f55\u7ba1\u7406\u672f\u540e\u8840\u538b\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c133\uff1a\u5bf9\u4e8e\u4f4e\u8840\u538b\u60a3\u8005\uff0c\u5e94\u5728\u6392\u9664\u9ebb\u9189\u76f8\u5173\u836f\u7269\u7684\u540e\u9057\u6548\u5e94\u4e4b\u540e\uff0c\u518d\u8bc4\u4f30\u5bb9\u91cf\u53cd\u5e94\u6027\u3002\u5bf9\u4e8e\u9ad8\u8840\u538b\u60a3\u8005\uff0c\u5e94\u5728\u8840\u538b\u7ba1\u7406\u524d\u5148\u53bb\u9664\u6613\u611f\u56e0\u7d20\uff08\u5982\u75bc\u75db\u3001\u547c\u5438\u56f0\u96be\u548c\u7126\u8651\uff09\uff08\u4e13\u5bb6\u610f\u89c1\uff09\u3002<\/p>\n<p>\u55dc\u94ec\u7ec6\u80de\u7624\u624b\u672f\u540e\u7684\u8840\u538b\u7ba1\u7406<\/p>\n<p>\u95ee\u989834\uff1a\u55dc\u94ec\u7ec6\u80de\u7624\u60a3\u8005\u672f\u540e\u8f6c\u5165ICU\u7684\u9002\u5e94\u8bc1\u662f\u4ec0\u4e48\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c134\uff1a\u5bf9\u4e8e\u672f\u4e2d\u51fa\u8840\u6216\u8840\u6d41\u52a8\u529b\u5b66\u4e25\u91cd\u6ce2\u52a8\uff08MAP\uff1c65 mmHg\uff09\u7684\u60a3\u8005\uff0c\u548c\/\u6216\u55dc\u94ec\u7ec6\u80de\u7624\u624b\u672f\u540e\u4ecd\u9700\u8981\u8840\u7ba1\u6d3b\u6027\u836f\u7269\u7ef4\u6301\u8840\u538b\u7684\u60a3\u8005\uff0c\u5efa\u8bae\u8f6c\u5165ICU\u8fdb\u884c\u8fdb\u4e00\u6b65\u76d1\u6d4b\u548c\u6cbb\u7597\uff08BPS\uff09\u3002<\/p>\n<p>\u95ee\u989835\uff1a\u672f\u540e\u4f4e\u8840\u538b\u60a3\u8005\u5e94\u5982\u4f55\u6cbb\u7597\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c135\uff1a\uff08a\uff09\u5bf9\u4e8e\u8840\u538b\u663e\u8457\u4e0b\u964d\u6216\u4f4e\u8840\u538b\u7684\u60a3\u8005\uff0c\u5e94\u7acb\u5373\u8fdb\u884c\u5feb\u901f\u6db2\u4f53\u590d\u82cf\u5e76\u53ca\u65f6\u7ed9\u4e88\u8840\u7ba1\u6d3b\u6027\u836f\u7269\u5347\u8840\u538b\uff08\u4e13\u5bb6\u610f\u89c1\uff09\uff1b\uff08b\uff09 \u5f53\u60a3\u8005\u51fa\u73b0\u987d\u56fa\u6027\u4f4e\u8840\u538b\u65f6\uff0c\u9700\u8981\u53ca\u65f6\u8865\u5145\u7cd6\u76ae\u8d28\u6fc0\u7d20\uff082+ \u7ea7\uff0c\u5f31\u63a8\u8350\uff09\uff1b\uff08c\uff09\u5f53\u4e0a\u8ff0\uff08a\uff09\u548c\uff08b\uff09\u6cbb\u7597\u65e0\u6548\u65f6\uff0c\u5e94\u8003\u8651\u4e3b\u52a8\u8109\u5185\u7403\u56ca\u53cd\u640f\uff08IABP\uff09\u6216ECMO\uff08\u4e13\u5bb6\u610f\u89c1\uff09\u3002<\/p>\n<p>\u91cd\u75c7\u5fc3\u810f\u75c5\u91cd\u75c7\u60a3\u8005\u7684\u8840\u538b\u7ba1\u7406<\/p>\n<p>\u95ee\u989836\uff1a\u6025\u6027\u51a0\u8109\u7efc\u5408\u5f81\uff08ACS\uff09\u7684\u76ee\u6807\u8840\u538b\u662f\u591a\u5c11\uff1f<\/p>\n<p>\u63a8\u8350\u610f\u89c136\uff1a\u5bf9\u4e8eACS\u5408\u5e76\u9ad8\u8840\u538b\u7684\u60a3\u8005\uff0c\u6211\u4eec\u5efa\u8baeSBP\u5e94\u63a7\u5236\u5728120\u2013130 mmHg\uff0cDBP\u226560 mmHg\uff0c\u4ee5\u7ef4\u6301\u51a0\u72b6\u52a8\u8109\u7684\u8840\u6d41\uff082+ 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class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70],"tags":[],"class_list":["post-55089","post","type-post","status-publish","format-standard","hentry","category-70"],"_links":{"self":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/55089","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=55089"}],"version-history":[{"count":0,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/55089\/revisions"}],"wp:attachment":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=55089"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=55089"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=55089"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}