作者: Steven M. Hollenberg , Brett Waldman
DOI: 10.1016/J.CCC.2016.02.004
关键词:
摘要: In the cirrhotic liver, distortion of normal liver architecture is caused by structural and vascular changes. Portal hypertension often associated with a hyperdynamic circulatory syndrome in which cardiac output heart rate are increased systemic resistance decreased. The release several vasoactive substances primary factor involved reduction mesenteric arterial resistance, resulting sodium water retention eventual formation ascites. Management these patients acute dysfunction requires invasive hemodynamic monitoring an intensive care unit setting to tailor decisions regarding use fluids vasopressors.