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首页> 外文期刊>Internal medicine. >Acute reversible myocardial depression associated with sepsis.
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Acute reversible myocardial depression associated with sepsis.

机译:败血症伴发的急性可逆性心肌抑制。

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A 30-year-old man was admitted to our hospital for left lobar pneumonia with septic shock. Acute left-sided heart failure became evident as sepsis developed. Echocardiography revealed diffuse severe hypokinesis of the left ventricle (LV) and a pulmonary artery catheter showed Forrester subset II hemodynamics. Along with amelioration of sepsis and decrease of the serum concentrations of tumor necrosis factor-alpha and interleukin-6, LV hypokinesis improved. It is suggested that the patient's heart failure may have been due to functional depression of myocardial contractility resulting from a direct effect of the cytokines towards the cardiomyocytes, the so-called "septic myocardial depression".
机译:一名30岁男子因败血性休克而因左大叶性肺炎入院。随着败血症的发展,急性左侧心力衰竭变得明显。超声心动图显示左心室(LV)弥漫性严重运动功能减退,肺动脉导管显示Forrester II血液动力学。随着脓毒症的改善和肿瘤坏死因子-α和白介素-6的血清浓度的降低,LV运动减退得到改善。建议患者的心力衰竭可能是由于细胞因子对心肌细胞的直接作用而导致的心肌收缩功能性降低,即所谓的“脓毒性心肌抑制”。

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