超声在有机磷中毒性心肌病患者中应用的临床观察  

Clinical Observation of Ultrasonography in Organophosphorus Poisoning Patients with Cardiomyopathy

作　　者：李珊珊 崔继祯 LI Shanshan;CUI Jizhen(Ultrasonography Department,Qingzhou Maternal and Child Health Hospital,Weifang 262500,China;Intensive Care Unit,Qingzhou Hospital Affiliated to Shandong First Medical University,Weifang 262500,China)

机构地区：[1]青州市妇幼保健院超声科,山东省潍坊市262500 [2]山东第一医科大学附属青州医院重症医学科,山东省潍坊市262500

出　　处：《实用心脑肺血管病杂志》2020年第S02期119-121,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的研究超声运用于有机磷中毒性心肌病患者中的价值。方法选择山东第一医科大学附属青州医院2018年5月—2020年5月纳入的67例有机磷中毒性心肌病患者作为研究对象,分别实施补液实验,依据结果将其中36例CI(心脏指数)≥15%的容量有反应者归于研究1组,另31例CI<15%的容量无反应者归于研究2组,收集并整理所有患者的齐全资料,并给予超声检查,分别在研究1、2组治疗前后测定相关指标,分析超声运用于有机磷中毒性心肌病患者中的价值。结果治疗前两组的CPV、CI相比差异无统计学意义(P>0.05),但研究1组的Dmax、Dmin低于研究2组,但RVI高出研究2组(P<0.05);治疗后两组CPV、CI、Dmax、Dmin相比差异无统计学意义(P>0.05),但研究1组RVI低于研究2组(P<0.05)。结论超声运用于有机磷中毒性心肌病患者中效果突出,可对患者容量管理进行指导,为后续临床治疗方案的选择及预后提供有利参考依据。Objective To study the value of ultrasonography in organophosphorus poisoning patients with cardiomyopathy.Methods 67 organophosphorus poisoning patients with cardiomyopathy treated from May 2018 to May 2020 in Qingzhou Hospital Affiliated To Shandong First Medical University were selected as research objects.According to fluid infusion test results,36 response patients with CI(cardiac index)≥15%were included in study group 1;31 non-response patients with CI<15%were included in study group 2.General data was collected.Ultrasonography was performed to measure the relevant indicators.Application value of ultrasonography was probed.Results Before treatment,CVP(central venous pressure)and CI between groups were not significantly different(P>0.05);but Dmax and Dmin values in study group 1 were lower than those in study group 2;RVI(respiratory variation index)was higher than that in study group 2(P<0.05);After treatment,CPV,CI,Dmax and Dmin values between groups were not significantly different(P>0.05);but RVI in study group 1 was lower than that in study group 2(P<0.05).Conclusion The ultrasonography is clinically proven to be effective,which can make guidance on the volume management,and provide basis on the selection of treatment schemes and the prediction of clinical prognosis.

关 键 词：心肌病 超声 有机磷中毒 血流速度 

分 类 号：R595[医药卫生—内科学] R542.2[医药卫生—临床医学]