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在确切的呼吸管理与输液疗法的基础上,休克病人循环管理要点之一是注意心血管药物的合理使用,以增强心脏“泵”机能作用,治疗严重的心律不齐和改善末梢血液灌注。根据其所发挥的作用,心血管药物可分为升压药(包括血管收缩药)、降压药(包括血管扩张药)、抗心律不齐药、强心药、冠状血管扩张药和肾上腺皮质激素等。本文主要就心源性休克患者的药物选择与使用方法进行概述。1.升压药与血管收缩药:休克时儿茶酚胺类分泌增加,毛细血管前后括约肌收
On the basis of exact respiratory management and infusion therapy, one of the key points of the circulatory management of shock patients is to pay attention to the rational use of cardiovascular drugs, to enhance the function of cardiac “pump”, to treat severe arrhythmia and improve peripheral blood perfusion. According to its role, cardiovascular drugs can be divided into vasopressors (including vasoconstrictors), antihypertensive drugs (including vasodilators), antiarrhythmic drugs, cardiotonic drugs, coronary vasodilators and adrenal cortex Hormones and so on. This article focuses on patients with cardiogenic shock drug selection and use of methods outlined. 1. Vasopressors and vasoconstrictors: increased secretion of catecholamines during shock, capillaries before and after the sphincter closed