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Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition) ›› 2025, Vol. 11 ›› Issue (02): 157-162. doi: 10.3877/cma.j.issn.2096-1537.2025.02.011

• Expert Opinion • Previous Articles    

Hemodynamic treatment of shock:from physiological mechanism to clinical thinking

Shengjun Liu1, Wei Cheng1, Lu Wang1, Yun Long1,()   

  1. 1. Department of Critical Care Medicine,Peking Union Medical College Hospital,CAMS & PUMC,Beijing 100730,China
  • Received:2025-01-31 Online:2025-05-28 Published:2025-07-18
  • Contact: Yun Long

Abstract:

Hemodynamic assessment and treatment are essential tools for reducing mortality in patients with shock.Goal-directed therapy (GDT) has provided critical care physicians with practical therapeutic targets and content during the early stages of shock resuscitation.However,during the phase of fluid optimization and maintenance,individual variability in patient responses makes it challenging to establish a unified treatment goal.Complications such as pulmonary edema caused by fluid overload,and arrhythmias and impaired tissue perfusion triggered by vasopressors,can prolong the duration of treatment and increase medical costs.With the continuous advancement of hemodynamic theory and technology,it has become possible to achieve individualized selection of resuscitation fluids,determination of individualized resuscitation responsiveness,and precise prediction and evaluation of resuscitation outcomes.This review focuses on the new concepts and advances in the treatment of shock hemodynamics in recent years,providing some reference for clinical treatment.

Key words: Fluid resuscitation, Hemodynamic therapy, Shock

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