儿童急性右心衰竭的识别、评估和处理
Identification, assessment, and management of acute right heart failure in children
摘要儿童多种急性心肺疾病可引起急性右心衰竭(ARHF),而右心功能又是多种心肺疾病转归和预后的重要决定因素。儿童ARHF起病急、变化快,临床表现不典型,不及时处理更易引起严重的血流动力学变化和后果。治疗的有效性在于及时识别ARHF,准确评估和监测患儿血流动力学状态,以此为基础结合原发疾病进行个性化合理治疗。
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abstractsAcute right-sided heart failure(ARHF) can be caused by many acute cardiopulmonary diseases in children, and right heart function is an important determinant of the outcome and prognosis of many cardiopulmonary diseases.ARHF in children has rapid onset, rapid change, atypical clinical manifestations, and is more likely to cause serious hemodynamic changes and consequences if not treated in time.The effectiveness of treatment lies in the timely identification of ARHF, the accurate evaluation and monitoring of the hemodynamic status of children, and on this basis, the personalized and rational treatment combined with the primary disease.
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