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中华重症医学电子杂志 ›› 2024, Vol. 10 ›› Issue (03) : 209 -213. doi: 10.3877/cma.j.issn.2096-1537.2024.03.001

述评

从血流到功能的距离
薛月川1, 隆云,1   
  1. 1. 100730 北京,中国医学科学院北京协和医学院 北京协和医院重症医学科
  • 收稿日期:2024-05-28 出版日期:2024-08-28
  • 通信作者: 隆云
  • 基金资助:
    北京协和医院中央高水平医院临床科研专项(2022- PUMCH-B-115)

The distance from blood flow to function

Yuechuan Xue1, Yun Long,1   

  1. 1. Department of Critical Care Medicine, Peking Union Medical College, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China
  • Received:2024-05-28 Published:2024-08-28
  • Corresponding author: Yun Long
引用本文:

薛月川, 隆云. 从血流到功能的距离[J/OL]. 中华重症医学电子杂志, 2024, 10(03): 209-213.

Yuechuan Xue, Yun Long. The distance from blood flow to function[J/OL]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2024, 10(03): 209-213.

重症患者的器官功能康复是重症治疗的根本,器官功能障碍与重症患者不良预后相关。在临床治疗过程中,基于疾病类型和不同器官本身病理生理学调控机制,实现从血流复苏到功能复苏,促进ICU加速康复。经典的休克复苏策略以灌注为导向,器官功能被放在后面一步。如何在休克复苏早期尽早地关注到器官功能,并以此为导向行血流动力学治疗,让血流与器官功能相结合。强调以器官功能改善为目标,通过严密评估、精准治疗,实现器官保护和远期器官修复,进而达到改善患者远期预后和生活质量的目的。

Organ function rehabilitation in critically ill patients is fundamental to intensive care treatment, as organ dysfunction is associated with adverse outcomes. Integrating the concept of accelerated rehabilitation in the ICU, clinical treatments should aim to achieve functional recovery alongside hemodynamic stabilization, tailored to the disease type and the regulatory mechanisms of different organs' pathophysiology. Traditional shock resuscitation strategies prioritize perfusion, leaving organ function as the final consideration. The key is to focus on organ function early in the shock resuscitation process, guiding hemodynamic treatment to combine blood flow and organ function. By targeting organ function improvement through thorough assessment and precise treatment, we can achieve organ protection and long-term repair, ultimately improving the prognosis and quality of life for patients.

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