{"id":8883,"date":"2025-06-12T15:41:44","date_gmt":"2025-06-12T07:41:44","guid":{"rendered":"https:\/\/wp-cc.meddatas.com\/?p=8883"},"modified":"2025-09-16T13:46:46","modified_gmt":"2025-09-16T05:46:46","slug":"20240329-%e5%88%98%e6%80%9d%e7%90%aa-a-55-year-old-man-with-cardiac-arrest-cardiogenic-shock-and-hypoxemia","status":"publish","type":"post","link":"https:\/\/wp-cc.meddatas.com\/?p=8883","title":{"rendered":"\u3010Case Listen and Say\u30112024-N Engl J Med- A 55-Year-Old Man with Cardiac Arrest, Cardiogenic Shock, and Hypoxemia"},"content":{"rendered":"<p style=\"text-align: center;\"><strong>\u6c47\u62a5\u4eba\uff1a\u5218\u601d\u742a\uff1b\u6c47\u62a5\u65f6\u95f4\uff1a2024.03.29<\/strong><\/p>\n<p><img loading=\"lazy\" class=\" wp-image-8884 aligncenter\" src=\"https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2025\/06\/\u5218\u601d\u742a.jpg\" alt=\"\" width=\"799\" height=\"382\" srcset=\"https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2025\/06\/\u5218\u601d\u742a.jpg 1642w, https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2025\/06\/\u5218\u601d\u742a-300x144.jpg 300w, https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2025\/06\/\u5218\u601d\u742a-1024x490.jpg 1024w, https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2025\/06\/\u5218\u601d\u742a-768x368.jpg 768w, https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2025\/06\/\u5218\u601d\u742a-1536x735.jpg 1536w\" sizes=\"(max-width: 799px) 100vw, 799px\" \/><\/p>\n<p style=\"text-align: center;\"><strong><b>Case <\/b><\/strong><strong><b>8<\/b><\/strong><strong><b>-2024: A 55-Year-Old Man with Cardiac Arrest, Cardiogenic Shock, and Hypoxemia<\/b><\/strong><\/p>\n<p style=\"text-align: center;\"><strong><b>N Engl J Med<\/b><\/strong><strong><b>\u00a0<\/b><\/strong><strong><b>2024 Mar 14;390(11):1030-1043.<\/b><\/strong><strong><b>\uff08DOI<\/b><\/strong><strong><b>: 10.1056\/NEJMcpc2300970.<\/b><\/strong><strong><b>\uff09<\/b><\/strong><\/p>\n<ul>\n<li><b><\/b><strong><b>\u4e3b\u8bc9\u4e0e\u73b0\u75c5\u53f2<\/b><\/strong><\/li>\n<\/ul>\n<p>\u60a3\u8005\u4e3a55\u5c81\u7537\u6027\uff0c\u56e0\u201c\u9662\u5916\u5fc3\u810f\u9aa4\u505c\u201d\u5165\u9662\u3002\u60a3\u8005\u5728\u665a\u9910\u65f6\u7a81\u7136\u5931\u53bb\u610f\u8bc6\uff0c\u6025\u6551\u4eba\u5458\u4f7f\u7528\u81ea\u52a8\u4f53\u5916\u9664\u98a4\u5668\u8fdb\u884c\u7535\u51fb\uff0c\u5e76\u5f00\u59cb\u8fdb\u884c\u5fc3\u80ba\u590d\u82cf\uff08CPR\uff09\u3002\u56db\u5206\u949f\u540e\uff0c\u6025\u6551\u4eba\u5458\u53d1\u73b0\u60a3\u8005\u4e3a\u5ba4\u98a4\uff0c\u5e76\u8fdb\u884c\u4e86\u9664\u98a4\u3002\u968f\u540e\u60a3\u8005\u88ab\u9001\u81f3\u6025\u8bca\u79d1\uff0c\u5fc3\u7535\u56fe\u63d0\u793a\u4e0b\u58c1\u5fc3\u808c\u6897\u6b7b\u3002\u60a3\u8005\u65e2\u5f80\u5065\u5eb7\uff0c\u65e0\u5df2\u77e5\u6162\u6027\u75be\u75c5\u548c\u836f\u7269\u53f2\u3002\u4f4f\u9662\u8fc7\u7a0b\u4e2d\uff0c\u60a3\u8005\u56e0\u5fc3\u6e90\u6027\u4f11\u514b\u3001\u6025\u6027\u547c\u5438\u8870\u7aed\u53ca\u4e25\u91cd\u4e8c\u5c16\u74e3\u53cd\u6d41\uff0c\u53d1\u751f\u4e86\u5ba4\u95f4\u9694\u7834\u88c2\uff0c\u8fdb\u884c\u4e86\u6025\u8bca\u624b\u672f\u6cbb\u7597\u3002<\/p>\n<ul>\n<li><b><\/b><strong><b>\u65e2\u5f80\u53f2\u4e0e\u4e2a\u4eba\u53f2<\/b><\/strong><\/li>\n<\/ul>\n<ol>\n<li><b><\/b>\u6162\u6027\u75be\u75c5\uff1a\u65e0\u5df2\u77e5\u6162\u6027\u75be\u75c5\u3002<\/li>\n<li>\u4e2a\u4eba\u53f2\uff1a\u60a3\u8005\u65e0\u5438\u70df\u53f2\uff0c\u4e0d\u996e\u9152\uff0c\u65e2\u5f80\u67aa\u4f24\u53f2\u3002<\/li>\n<li>\u5bb6\u65cf\u53f2\uff1a\u4e0d\u8be6\u3002<\/li>\n<\/ol>\n<ul>\n<li><b><\/b><strong><b>\u4f53\u683c\u68c0\u67e5 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3169 ng\/L\uff08\u663e\u8457\u5347\u9ad8\uff09\uff0cNT-proBNP 5679 pg\/mL\uff1b\u767d\u7ec6\u80de\u3001\u8840\u7cd6\u3001\u809d\u9176\u53ca\u51dd\u8840\u6307\u6807\u5f02\u5e38\uff1b\u65b0\u51a0\u6838\u9178\u9633\u6027\u3002<\/p>\n<p>2\uff09\u540e\u671f\uff1a\u4e2d\u5fc3\u9759\u8109\u8840\u6c27\u9971\u548c\u5ea6\uff0856.6%\uff09&lt;\u6df7\u5408\u9759\u8109\u8840\u6c27\u9971\u548c\u5ea6\uff0876.8%\uff09\uff0c\u63d0\u793a\u5fc3\u5ba4\u6c34\u5e73\u5206\u6d41\uff0c\u540e\u7eed\u5438\u5165\u4e00\u6c27\u5316\u6c2e\u540e\uff0cSvO\u2082\u5347\u9ad8\u81f390.1%\u3002<\/p>\n<ul>\n<li><b><\/b><strong><b>\u9274\u522b\u8bca\u65ad\u4e0e\u8bca\u65ad\u601d\u8def<\/b><\/strong><b><\/b><\/li>\n<\/ul>\n<p>\u60a3\u8005\u8868\u73b0\u4e3a\u987d\u56fa\u6027\u5934\u75db\uff0c\u9700\u4f18\u5148\u6392\u9664\u4ee5\u4e0b\u75c5\u56e0\uff1a<\/p>\n<ol>\n<li>\u6025\u6027\u547c\u5438\u7a98\u8feb\u7efc\u5408\u5f81\uff08ARDS\uff09<\/li>\n<\/ol>\n<p>a.\u652f\u6301\u70b9\uff1a\u4f4ePaO\u2082\/FiO\u2082\u6bd4\u503c\u3001\u53cc\u80ba\u5f25\u6f2b\u6027\u6d78\u6da6\u5f71\u3002<\/p>\n<p>b.\u77db\u76fe\u70b9\uff1aNT-proBNP\u5347\u9ad8\u3001\u5de6\u5fc3\u5ba4\u6269\u5f20\u3001\u80ba\u52a8\u8109\u6954\u538b\u5347\u9ad8\uff0c\u63d0\u793a\u4ee5\u5fc3\u6e90\u6027\u80ba\u6c34\u80bf\u4e3a\u4e3b\u3002<\/p>\n<ol>\n<li>\u5fc3\u6e90\u6027\u4f11\u514b<\/li>\n<\/ol>\n<p>a.\u652f\u6301\u70b9\uff1a\u4f4e\u8840\u538b\u3001\u4f4e\u5fc3\u6307\u6570\uff081.7 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start=\"5\">\n<li>\u5fc3\u808c\u6897\u6b7b\u673a\u68b0\u5e76\u53d1\u75c7<\/li>\n<\/ol>\n<p>1\uff09\u5ba4\u95f4\u9694\u7834\u88c2\uff1aTEE\u53d1\u73b0\u5ba4\u95f4\u969416mm\u7f3a\u635f\u4f34\u5de6\u5411\u53f3\u5206\u6d41\uff0c\u53f3\u5fc3\u5ba4\u6269\u5f20\u3002<\/p>\n<p>2\uff09\u4e73\u5934\u808c\u65ad\u88c2\uff1a\u540e\u671f\u7a81\u53d1\u5ba4\u901f\u590d\u53d1\uff0cTEE\u8bc1\u5b9e\u4e8c\u5c16\u74e3\u4e73\u5934\u808c\u65ad\u88c2\u4f34\u91cd\u5ea6\u53cd\u6d41\u3002<\/p>\n<ul>\n<li><b><\/b><strong><b>\u6700\u7ec8\u8bca\u65ad<\/b><\/strong><\/li>\n<\/ul>\n<ol>\n<li>\u4e0b\u58c1\u5fc3\u808c\u6897\u6b7b<\/li>\n<li>\u5fc3\u6e90\u6027\u4f11\u514b<\/li>\n<li>\u5ba4\u95f4\u9694\u7834\u88c2<\/li>\n<li>\u4e73\u5934\u808c\u65ad\u88c2\u5408\u5e76\u6025\u6027\u4e8c\u5c16\u74e3\u8fd4\u6d41<\/li>\n<\/ol>\n<ul>\n<li><b><\/b><strong><b>\u6cbb\u7597\u4e0e\u9884\u540e<\/b><\/strong><\/li>\n<\/ul>\n<p>\u6cbb\u7597<\/p>\n<ol>\n<li>\u8840\u6d41\u52a8\u529b\u5b66\u652f\u6301\uff1a\u5347\u538b\u3001\u5f3a\u5fc3\u3001\u673a\u68b0\u5faa\u73af\u652f\u6301\uff08LVAD\u2192VA-ECMO\uff09\u3002<\/li>\n<li>\u624b\u672f\uff1aVSR\u4fee\u8865\u672f\uff08\u672f\u540eTTE\u672a\u89c1\u6b8b\u4f59\u5206\u6d41\uff09\uff0c\u4e73\u5934\u808c\u65ad\u88c2\u540e\u884c\u4e8c\u5c16\u74e3\u751f\u7269\u74e3\u7f6e\u6362<\/li>\n<li>\u611f\u67d3\u53ca\u5668\u5b98\u652f\u6301\uff1a\u6301\u7eed\u884c\u8840\u6db2\u900f\u67903\u4e2a\u6708\uff0c\u540e\u6062\u590d\u80be\u529f\u80fd\uff1b\u672f\u540e\u53d1\u751f\u8010\u78b3\u9752\u9709\u70ef\u80a0\u6746\u83cc\u611f\u67d3\u5bfc\u81f4\u547c\u5438\u673a\u76f8\u5173\u80ba\u708e\u3002<\/li>\n<\/ol>\n<p>\u9884\u540e<\/p>\n<p>\u672f\u540e\u7b2c145\u5929\u51fa\u9662\uff0c\u670d\u7528\u963f\u53f8\u5339\u6797\u3001\u6c2f\u5421\u683c\u96f7\u3001\u4ed6\u6c40\u3001\u03b2\u53d7\u4f53\u963b\u6ede\u5242\u3001SGLT2\u6291\u5236\u5242\u7b49\u5fc3\u8840\u7ba1\u836f\u7269\u300212\u4e2a\u6708\u968f\u8bbf\u80fd\u6b65\u884c45\u5206\u949f\/\u5929\uff0c\u8f7b\u5ea6\u4e4f\u529b\uff0c\u65e0\u547c\u5438\u56f0\u96be\u6216\u6c34\u80bf\u3002\u8d85\u58f0\u793aLVEF 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Case 8-2024: A 55-Year-Old Man  &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/wp-cc.meddatas.com\/?p=8883\"> <span class=\"screen-reader-text\">\u3010Case Listen and Say\u30112024-N Engl J Med- A 55-Year-Old Man with Cardiac Arrest, Cardiogenic Shock, and Hypoxemia<\/span> \u67e5\u770b\u5168\u6587 &raquo;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[131],"tags":[],"_links":{"self":[{"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/posts\/8883"}],"collection":[{"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8883"}],"version-history":[{"count":2,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/posts\/8883\/revisions"}],"predecessor-version":[{"id":9032,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/posts\/8883\/revisions\/9032"}],"wp:attachment":[{"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8883"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8883"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8883"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}