Pathogenesis of acute cor pulmonale in children
10.3760/cma.j.issn.1673-4912.2022.01.005
- VernacularTitle:儿童急性肺源性心脏病的发病机制
- Author:
Lili LUO
1
;
Lina QIAO
Author Information
1. 四川大学华西第二医院儿童重症医学科,成都 610041
- Keywords:
Acute cor pulmonale;
Right heart failure;
Pathogenesis;
Children;
Critical illness
- From:
Chinese Pediatric Emergency Medicine
2022;29(1):24-27
- CountryChina
- Language:Chinese
-
Abstract:
Acute cor pulmonale, usually secondary to pulmonary hypertension induced from severe pulmonary diseases or pulmonary circulation disorders, is characterized by acute right heart dysfunction and right heart failure.Hypoxemia, hypercapnia and positive pressure ventilation can all lead to pulmonary hypertension.During the treatment of critically ill children, especially in the process of respiratory support, acute cor pulmonale should be identified as soon as possible to consider the implementation of "lung protection" and "circulation protection" with monitoring of right heart function and protection as the core.