监测中心静脉压力指导急性循环衰竭的治疗:放弃还是坚持

Yaya Xu
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摘要

中心静脉压(CVP)是血液动力学监测中最常用的参数之一,监测CVP以指导急性循环衰竭的治疗是一种相对常见的临床方法。然而,许多研究指出,CVP受多种因素影响,具有很大的局限性,不能为急性循环衰竭的治疗提供帮助。本文综述了CVP的工作原理、治疗价值及影响因素的分析。主要目的是更好地理解CVP。关键词:中心静脉压;急性循环衰竭;液体复苏;流体反应性;心输出量;血液动力学
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Monitoring center venous pressure to guide the treatment of acute circulatory failure: give up or persist
Central venous pressure (CVP) is one of the most commonly used parameters in hemodynamic monitoring, and monitoring CVP to guide the treatment of acute circulatory failure is a relatively common clinical method.However, many studies have pointed out that CVP is affected by many factors and has great limitations, which cannot provide help for the treatment of acute circulatory failure.This review summarized the analysis of the working principle of CVP, its value in treatment and influencing factors.The main purpose is to get a better understanding of CVP. Key words: Central venous pressure; Acute circulatory failure; Fluid resuscitation; Fluid responsiveness; Cardiac output; Hemodynamics
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期刊介绍: Chinese Journal of Neurology was established in 1955, the predecessor of which is Chinese Journal of Neurology and Psychiatry. Chinese Journal of Neurology and Psychiatry has been indexed by MEDLINE until 1996, when it was divided into two journals, Chinese Journal of Neurology, and Chinese Journal of Psychiatry. Chinese Journal of Neurology is now indexed by EM, SCOPUS, AJ, WPRIM, CNKI, Wanfang Data, CSCD, etc. The impact factor of the journal is 2.755 in 2017, ranking the first among all neurological and psychological journals in China and among all the 142 medical journals published by the Chinese Medical Association. The journal is available both in print and online.
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