[Research advance of the mechanism and treatment of septic cardiomyopathy].

医学 感染性休克 败血症 心肌病 重症监护医学 射血分数 器官功能障碍 心力衰竭 疾病 发病机制 机制(生物学) 休克(循环) 心脏病学 内科学 认识论 哲学
作者
Tuerxun Dilireba,Chunbo Yang,Yì Wáng,Qiongli Ding,Xiangyou Yu
出处
期刊:PubMed [National Institutes of Health]
卷期号:34 (10): 1112-1115 被引量:2
标识
DOI:10.3760/cma.j.cn121430-20210623-00938
摘要

Sepsis is a life-threatening organ dysfunction caused by dysregulation of the body's response to infection. It is one of the common and serious complications in clinically critical patients with trauma, burn, shock, infection, etc., with high morbidity and mortality. Although the treatment of sepsis has made great achievements in clinical practice, the mortality of patients with sepsis is still increasing due to its secondary complications. Septic cardiomyopathy (SCM) is one of the major complications that threaten septic patient's life. SCM refers to myocardial dysfunction with the aggravation of the primary disease, which is manifested by biventricular dilatation accompanied by a decrease in left ventricular ejection fraction (LVEF). It is one of the major complications that threaten the life of patients with sepsis. The existing research shows that the mechanism of SCM includes myocardial mitochondrial dysfunction, myocardial cell apoptosis, calcium circulation disorder and its treatment including conventional treatment, β1 receptor blocker treatment and traditional Chinese medicine treatment,etc. This paper reviewed the pathogenesis of SCM and its related, in order to provide references for the rational diagnosis and treatment of SCM.

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