体外循环心血管手术后血管麻痹综合征的治疗进展  

Advances in the treatment of vasoplegic syndrome after cardiopulmonary bypass in cardiovascular surgery

作　　者：卢雨 吕强 Lu Yu;Lyu Qiang(School of Medicine,University of Electronic Science and Technology,Sichuan Chengdu 610072,China)

机构地区：[1]电子科技大学医学院,成都610072 [2]四川省医学科学院四川省人民医院(电子科技大学附属医院)

出　　处：《中国体外循环杂志》2025年第2期192-196,共5页Chinese Journal of Extracorporeal Circulation

摘　　要：血管麻痹综合征(VPS)是一种体外循环心脏和大血管手术后常见并发症,严重影响心脏手术患者术后康复。如何降低体外循环后VPS的发生率,改善VPS患者的预后一直是临床医生关注的问题。近年来,有关心脏术后VPS的预防和治疗取得了一些进展。本文将在VPS病理生理机制基础上,对不同治疗方案和药物的疗效、不良反应等进行综述。Vasoplegic syndrome(VPS)is a common complication after cardiopulmonary bypass in cardiac and macrovascular surgery,which seriously affects the postoperative recovery of patients.How to reduce the incidence of VPS after cardiopulmonary bypass and improve the prognosis of patients undergoing VPS has always been concerned by clinicians.In recent years,some progress has been made regarding the prevention and treatment of VPS after cardiac surgery.In this paper,we will review the efficacy and adverse effects of different regimen and drugs based on the pathophysiologic mechanisms of VPS.

关 键 词：血管麻痹综合征 心脏手术 体外循环 风险因素 预防 药物治疗 

分 类 号：R654.2[医药卫生—外科学]