...疗杂志-护理杂志-医学网 关键词】 烧 伤; 心 肌; 休克心; 左卡尼汀 [gap=1992]Key words： Burns; Myocardium; Shock heart; L-carnitine ...
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心脉休克 COUNTER SHOCK
Hypoxia and inflammatory factors/cytokines are the major cause of "shock heart" appeared after severe burn.
缺氧、炎症因子等是严重烧伤早期心肌损害与“休克心”的主要致病因素。
参考来源 - p38激酶途径在烧伤早期心肌损害中的作用研究·2,447,543篇论文数据，部分数据来源于NoteExpress
结果高渗盐水组能明显减轻脑水肿，改善脑血流灌注及提高心排出量，有效复苏休克。
Results Hypertonic saline can significantly reduce cerebral edema, improved cerebral blood flow and improving cardiac output, effective recovery of shock.
血管升压药用于休克状态以提高平均动脉压（MAP）以及改善末梢组织灌注。此外，一些药物可以作用于心脏，增加心输出量。
Vasopressors are used in shock-states to increase mean arterial pressure (MAP) and improve distal tissue perfusion. Additionally, some agents have effects on the heart to augment cardiac output.
故仍需对烧伤休克的早期液体复苏和综合治疗加以改进，以提高心输出量和改善组织供氧不足。
Therefore, further improvement in fluid resuscitation and combined treatment for early burn shock to raise cardiac output and improve tissue oxygen delivery may be needed.
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