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文献詳細

雑誌文献

循環器ジャーナル66巻4号

2018年10月発行

文献概要

特集 循環器救急の最前線—初期診療と循環管理を極める Ⅵ.循環管理を要する特殊病態へのアプローチ

敗血症—敗血症性ショックの病態と循環管理のポイント

著者: 垣花泰之1

所属機関: 1鹿児島大学大学院医歯学総合研究科救急・集中治療医学分野

ページ範囲:P.660 - P.666

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・敗血症性ショックには複数のショックが混在している.
・敗血症性心筋障害には2つのタイプが存在する.
・治療のポイントは早期の急速大量輸液と適切な循環作動薬の選択である.

参考文献

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2) 西田 修,小倉裕司,井上茂亮,他:日本版敗血症診療ガイドライン2016 The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016(J-SSCG2016).日集中医誌24 Suppl 2:S1-S232, 2017
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17) Sekiguchi H, Harada Y, Villarraga HR, et al:Focused cardiac ultrasound in the early resuscitation of severe sepsis and septic shock:a prospective pilot study. J Anesth 31:487-493, 2017
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19) Cariou A, Pinsky MR, Monchi M, et al:Is myocardial adrenergic responsiveness depressed in human septic shock? Intensive Care Med 34:917-922, 2008
20) Morelli A, Ertmer C, Westphal M, et al:Effect of heart rate control with esmolol on hemodynamic and clinical outcomes in patients with septic shock:a randomized clinical trial. JAMA 310:1683-1691, 2013
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掲載誌情報

出版社:株式会社医学書院

電子版ISSN:2432-3292

印刷版ISSN:2432-3284

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