儿茶酚胺类药物是否有利于内脏灌注  

Whether catecholamines have beneficial effects on splanchnic perfusion

作　　者：陈扬 陆国平 Chen Yang;Lu Guoping(Pediatric Intensive Care Unit, Children＇s Hospital of Fudan University, Shanghai 201102, China)

机构地区：[1]复旦大学附属儿科医院重症医学科,上海201102

出　　处：《中国小儿急救医学》2018年第3期176-181,共6页Chinese Pediatric Emergency Medicine

摘　　要：儿茶酚胺类药物是临床最常用的血管活性药物，主要作用是升血压和（或）增加心肌收缩力。而休克的治疗目标是维持组织灌注和改善氧代谢，理想的血管活性药物问题仍是充满争议的。儿茶酚胺类药物究竟能否改善内脏灌注是本文关注的焦点，文中将探讨去甲肾上腺素、多巴胺、多巴酚丁胺、肾上腺素，以及去甲肾上腺素联合多巴酚丁胺或。肾上腺素等临床常用儿茶酚胺类药物及其组合对内脏灌注是否有益。The majority of vasoactive agents in clinical use are catecholamines,which are major vasopressors and/or inotropes in shock.While the primary goal in treating shock is to maintain tissue peffusion and oxygenation.The question of the ideal vasoactive agent in a shock patient remains controversial and unanswered.This article focused on whether catecholamines,such as norepinephrine,dopamine,dobutamine,epinephrine,withdobutamine or epinephrine,have beneficial effects on splanchnic perfusion.

关 键 词：儿茶酚胺类药物 内脏灌注 休克 升压药物 正性肌力药物 

分 类 号：R720.597[医药卫生—急诊医学]