《急診每日一題》降低肺梗塞患者后負(fù)荷和改善肌力方法2021年9月
Question?問題：
Once a diagnosis of pulmonary embolism is made, prompt initiation of anticoagulation is imperative as it has been shown to reduced mortality. If necessary, what conservative efforts can be employed to reduce RV afterload??
一旦肺梗塞診斷成立，盡快開始抗凝治療是關(guān)鍵的，因?yàn)槠淇梢越档退劳雎?。如需要，使用什么保守方法可以降低右室后?fù)荷？
Answer?答案：
Conservative efforts to reduce RV afterload include oxygen supplementation and inhaled nitric oxide to assist with pulmonary vasodilation. For severe RV dysfunction, an inotropic agent such as dobutamine, should be initiated.?
降低后負(fù)荷的保守方法有給氧和吸入有助于肺血管擴(kuò)張的一氧化氮。對(duì)于嚴(yán)重右室功能不全，應(yīng)該開始給予一種正性肌力藥，如多巴酚丁胺。
參考文獻(xiàn)：
Crit Care. 2021;25:311
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