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王沁雪.《2023年国际心肺移植学会共识声明：心力衰竭相关心源性休克》解读[J].内科急危重症杂志,2024,30(6):481-486
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| DOI：10.11768/nkjwzzzz.20240601 |
| 中文关键词: 心力衰竭相关心源性休克 共识声明 管理策略 评估 |
| 英文关键词: |
| 基金项目:国家自然科学基金面上项目（82470496） |
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| 摘要点击次数: 527 |
| 全文下载次数: 661 |
| 中文摘要: |
| 摘要：国际心肺移植协会（ISHLT）于2022年在波士顿召开会议，54位与会专家经问卷调查和分组讨论，就心力衰竭相关心源性休克（HF-CS）的管理系统、患者特征及管理策略3个关键问题达成一致意见，并于2023年发布共识声明。共识推荐采用“同心圆”式的层级管理模型，强调多学科团队协作并建立完善的转诊评估体系，以实现HF-CS患者的分级管理和精准治疗。对非急性心肌梗死相关的心源性休克建议使用HF-CS命名，根据具体情况选择适当的临时机械循环支持（tMCS）策略和抗凝方案，提出了tMCS的撤机流程和支持目标。该共识为HF-CS的临床实践和研究提供指导，旨在提高患者的生存率和生活质量。本文就该共识声明的内容进行详细解读，以期提高我国对于HF-CS患者的诊治能力。 |
| 英文摘要: |
| Abstract The International Society for Heart and Lung Transplantation (ISHLT) convened a meeting in Boston in 2022, where 54 experts reached a consensus on three key issues related to heart failure-related cardiogenic shock (HF-CS) through surveys and group discussions, which was released in 2023. The consensus recommended adopting a "concentric circle" tiered management model, emphasized multidisciplinary team collaboration, and established a referral evaluation system. For non-acute myocardial infarction related cardiogenic shock, the term HF-CS was recommended. Appropriate temporary mechanical circulatory support (tMCS) strategies and anticoagulation protocols were advised to be selected based on specific circumstances, with guidelines provided for tMCS weaning processes and support goals. This consensus offered guidance for clinical practice and research on HF-CS, aiming to improve patient survival and quality of life. This article provided a detailed interpretation of the consensus statement to enhance the diagnosis and treatment of HF-CS patients in China. |
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