{"id":40201,"date":"2023-10-20T09:11:06","date_gmt":"2023-10-20T09:11:06","guid":{"rendered":"https:\/\/ifevet.com\/?p=40201"},"modified":"2025-11-13T17:19:27","modified_gmt":"2025-11-13T16:19:27","slug":"systemisches-ischamie-reperfusions-syndrom","status":"publish","type":"post","link":"https:\/\/ifevet.com\/de\/systemisches-ischamie-reperfusions-syndrom\/","title":{"rendered":"Systemisches Isch\u00e4mie-Reperfusions-Syndrom"},"content":{"rendered":"

Definition:<\/strong> Klinische Pr\u00e4sentation \u00e4hnlich einer Sepsis, da die Patienten systemische Entz\u00fcndung (SIRS)<\/strong>, Aktivierung der Gerinnung (DIC)<\/strong> und Endothelsch\u00e4den<\/strong> aufweisen.<\/p>\n

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Klinische Zeichen:<\/strong><\/p>\n

    \n
  • \n

    Tachykardie \/ Bradykardie<\/p>\n<\/li>\n

  • \n

    Tachypnoe<\/p>\n<\/li>\n

  • \n

    Fieber \/ Hypothermie<\/p>\n<\/li>\n

  • \n

    Hypoperfusion<\/p>\n<\/li>\n

  • \n

    Multiorganversagen<\/p>\n<\/li>\n

  • \n

    Blutungen, \u00d6deme etc.<\/p>\n<\/li>\n<\/ul>\n

    \n

    Behandlung:<\/strong><\/p>\n

      \n
    • \n

      H\u00e4modynamische Optimierung:<\/strong> Einsatz einer zielgerichteten Fr\u00fchtherapie<\/strong>. Zielwerte:<\/p>\n

        \n
      • \n

        Zentrale Venendruck: 0\u201310\u202fcm H\u2082O<\/p>\n<\/li>\n

      • \n

        Mittlerer arterieller Druck (MAP): 80\u2013120\u202fmmHg<\/p>\n<\/li>\n

      • \n

        Zentrale ven\u00f6se Sauerstoffs\u00e4ttigung (ScvO\u2082) > 70\u202f%<\/p>\n<\/li>\n

      • \n

        Laktat < 2,5\u202fmmol\/L<\/p>\n<\/li>\n<\/ul>\n<\/li>\n

      • \n

        Blutzuckerkontrolle:<\/strong> Hyperglyk\u00e4mie verschlechtert isch\u00e4mische Hirnsch\u00e4den. Regelinsulin<\/strong> wird empfohlen, um die Glukose unter 180\u202fmg\/dL zu halten.<\/p>\n<\/li>\n

      • \n

        Nebennierenfunktionsst\u00f6rung:<\/strong> Kritisch kranke Patienten k\u00f6nnen eine corticosteroid-related insufficiency (CIRCI)<\/strong> entwickeln. Bei vasopressorabh\u00e4ngigen Patienten kann eine niedrige Dosis Hydrocortison oder Methylprednisolon<\/strong> erwogen werden.<\/p>\n<\/li>\n<\/ul>\n

        \"\"<\/p>\n","protected":false},"excerpt":{"rendered":"

        Definition: Klinische Pr\u00e4sentation \u00e4hnlich einer Sepsis, da die Patienten systemische Entz\u00fcndung (SIRS), Aktivierung der Gerinnung (DIC) und Endothelsch\u00e4den aufweisen. Klinische Zeichen: Tachykardie \/ Bradykardie Tachypnoe Fieber \/ Hypothermie Hypoperfusion Multiorganversagen Blutungen, \u00d6deme etc. Behandlung: H\u00e4modynamische Optimierung: Einsatz einer zielgerichteten Fr\u00fchtherapie. Zielwerte: Zentrale Venendruck: 0\u201310\u202fcm H\u2082O Mittlerer arterieller Druck (MAP): 80\u2013120\u202fmmHg Zentrale ven\u00f6se Sauerstoffs\u00e4ttigung (ScvO\u2082) > […]<\/p>\n","protected":false},"author":1,"featured_media":40203,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[],"class_list":["post-40201","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-klinische-inhalte"],"yoast_head":"\nSystemisches Isch\u00e4mie-Reperfusions-Syndrom - Ifevet International - Alemania<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ifevet.com\/de\/systemisches-ischamie-reperfusions-syndrom\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Systemisches Isch\u00e4mie-Reperfusions-Syndrom - Ifevet International - Alemania\" \/>\n<meta property=\"og:description\" content=\"Definition: Klinische Pr\u00e4sentation \u00e4hnlich einer Sepsis, da die Patienten systemische Entz\u00fcndung (SIRS), Aktivierung der Gerinnung (DIC) und Endothelsch\u00e4den aufweisen. Klinische Zeichen: Tachykardie \/ Bradykardie Tachypnoe Fieber \/ Hypothermie Hypoperfusion Multiorganversagen Blutungen, \u00d6deme etc. Behandlung: H\u00e4modynamische Optimierung: Einsatz einer zielgerichteten Fr\u00fchtherapie. Zielwerte: Zentrale Venendruck: 0\u201310\u202fcm H\u2082O Mittlerer arterieller Druck (MAP): 80\u2013120\u202fmmHg Zentrale ven\u00f6se Sauerstoffs\u00e4ttigung (ScvO\u2082) > […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ifevet.com\/de\/systemisches-ischamie-reperfusions-syndrom\/\" \/>\n<meta property=\"og:site_name\" content=\"Ifevet International - Alemania\" \/>\n<meta property=\"article:published_time\" content=\"2023-10-20T09:11:06+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-11-13T16:19:27+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ifevet.com\/de\/wp-content\/uploads\/sites\/19\/2023\/10\/sindrome-isquemia-reperfusion-sistemica.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1000\" \/>\n\t<meta property=\"og:image:height\" content=\"667\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minuto\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/ifevet.com\\\/de\\\/systemisches-ischamie-reperfusions-syndrom\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/ifevet.com\\\/de\\\/systemisches-ischamie-reperfusions-syndrom\\\/\"},\"author\":{\"name\":\"admin\",\"@id\":\"https:\\\/\\\/ifevet.com\\\/de\\\/#\\\/schema\\\/person\\\/dff617da2ff42828a70bf3d3e8ad0238\"},\"headline\":\"Systemisches Isch\u00e4mie-Reperfusions-Syndrom\",\"datePublished\":\"2023-10-20T09:11:06+00:00\",\"dateModified\":\"2025-11-13T16:19:27+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/ifevet.com\\\/de\\\/systemisches-ischamie-reperfusions-syndrom\\\/\"},\"wordCount\":112,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/ifevet.com\\\/de\\\/systemisches-ischamie-reperfusions-syndrom\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/ifevet.com\\\/de\\\/wp-content\\\/uploads\\\/sites\\\/19\\\/2023\\\/10\\\/sindrome-isquemia-reperfusion-sistemica.png\",\"articleSection\":[\"Klinische Inhalte\"],\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/ifevet.com\\\/de\\\/systemisches-ischamie-reperfusions-syndrom\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/ifevet.com\\\/de\\\/systemisches-ischamie-reperfusions-syndrom\\\/\",\"url\":\"https:\\\/\\\/ifevet.com\\\/de\\\/systemisches-ischamie-reperfusions-syndrom\\\/\",\"name\":\"Systemisches Isch\u00e4mie-Reperfusions-Syndrom - 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