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中华重症医学电子杂志 ›› 2025, Vol. 11 ›› Issue (04) : 345 -350. doi: 10.3877/cma.j.issn.2096-1537.2025.04.004

专题笔谈

重症视角下心脏瓣膜疾病的管理
李文哲, 于湘友()   
  1. 830054 乌鲁木齐,新疆医科大学第一附属医院重症医学科
  • 收稿日期:2024-12-04 出版日期:2025-11-28
  • 通信作者: 于湘友
  • 基金资助:
    国家重点研发计划项目(2021YFC2500800)

Management of valvular heart disease from a critical care perspective

Wenzhe Li, Xiangyou Yu()   

  1. Department of Critical Care Medicine, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
  • Received:2024-12-04 Published:2025-11-28
  • Corresponding author: Xiangyou Yu
引用本文:

李文哲, 于湘友. 重症视角下心脏瓣膜疾病的管理[J/OL]. 中华重症医学电子杂志, 2025, 11(04): 345-350.

Wenzhe Li, Xiangyou Yu. Management of valvular heart disease from a critical care perspective[J/OL]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2025, 11(04): 345-350.

心脏瓣膜疾病(VHD)的识别和治疗是重症医师面临的巨大挑战之一,快速诊断并及时鉴别出各种潜在病因,实施有效治疗,创造手术时机是重中之重。如何高效实施血流动力学监测、制定个体化药物治疗方案、合理应用体外生命支持(ECLS)及明确手术/介入治疗时机等,仍是临床实践中亟待优化的关键问题。本文针对VHD诊疗的循证医学证据进行总结,以期为临床医务人员优化VHD诊疗的临床实践提供参考。

The recognition and management of valvular heart disease (VHD) pose a significant challenge for intensivists. The priorities include rapid diagnosis, timely differentiation of potential etiologies, implementation of effective therapies, and creating opportunities for definitive surgical intervention. Key aspects that require optimization cncompass efficient hemodynamic monitoring, tailored pharmacotherapy, judicious application of extracorporeal life support and determining the optimal timing for surgical or transcatheter procedures. This article reviews the current evidence regarding the diagnosis and managementof VHD in critically ill patients, aiming to provide a reference for clinicians to optimize clinical practice in ICU.

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