TUhjnbcbe - 2021/5/29 23:45:00
适应证：脓*性休克、心源性休克，不适用于仅低血容量性休克；药物选择：一线药物多巴酚丁胺，不推荐多巴胺时机：低心排以及灌注不足当患者出现不能接受的副作用或临床改善时，强心药剂量应该下调或予以停用。Results:Atotalofphysiciansfrom82countriesresponded.Dobutaminewasthefirst-lineinotropeincriticallyillpatientswithacuteheartfailurefor84%ofrespondents.Two-thirdsofrespondents(66%)statedtouseinotropeswhentherewerepersistentclinicalsignsofhypoperfusionorpersistenthyperlactatemiadespiteasupposedadequateuseoffluidsandvasopressors,with(44%)orwithout(22%)thecontextoflowleftventricularejectionfraction.Nearlyhalf(44%)ofrespondentsstatedanadequatecardiacoutputastargetforinotropictreatment.Theexpertsagreedon11strongre