PICCO监测在老年严重感染患者液体复苏中的应用与护理  

Application and nursing of PICCO on elderly patients with severe sepsis during fluid resuscitation

作　　者：陆晓芬[1] 虞意华[1] 沈新[1] 

机构地区：[1]浙江医院,浙江杭州310013

出　　处：《浙江医学教育》2013年第3期34-36,共3页Zhejiang Medical Education

基　　金：浙江省医药卫生科技计划(编号:2006A010)

摘　　要：目的:探讨PICCO监测技术在老年严重感染患者液体复苏过程中的护理要点。方法:对32例老年严重感染患者采用PICCO技术作为监测手段,并以每搏输出量变异(SVV)指导液体复苏,观察复苏治疗效果并总结导管护理重点。结果:9例患者因高龄病重并发多器官功能衰竭而死亡。复苏前后各监测指标均有明显改善,而且复苏治疗期间均无意外拔管、局部感染或导管堵管发生。结论:PICCO监测有助于改善液体复苏治疗效果,护理措施得当可以有效保证监测的成功实施并避免相关并发症。[ Objective ] To demonstrate the key process during fluid resuscitation in elderly patients with severe sepsis. [Method] 32 patients with severe sepsis were monitored with PICCO and fluid resuscitation was conducted under guidance of SVV. The effect of the intervention was observed and key points of nusfing were summarized. [Result] 9 of 32 patients died during the treatment due to MODS. All index of PICCO were improved significantly after SVV guide fluid resuscitation. Fur- thermore, there was no catheterization related complications occurred during the follow- up. [ Conclusion] PICCO could be useful for fluid resuscitation for patient with severe sepsis. Appropriate nursing strategies and skills could be effective for avoid- ing catheterization related complications.

关 键 词：脉搏指示连续心输出量 每搏输出量变异 严重感染 液体复苏 护理 

分 类 号：R473[医药卫生—护理学]