危重患者连续性肾脏替代治疗期间应用脉搏指示持续心输出量监测的价值  

Significance of pulse indicated continuous cardiac output monitoring in critically ill patients during continuous renal replacement therapy

作　　者：熊梅凤[1] 

机构地区：[1]广州医学院附属深圳沙井医院重症医学科,518104

出　　处：《山西医药杂志》2014年第15期1768-1770,共3页Shanxi Medical Journal

摘　　要：目的探讨临床运用脉搏指示持续心输出量(PiCCO)监测技术对危重患者在连续性肾脏替代治疗(CRRT)治疗期间进行容量监测及护理。方法分析我院重症监护病房(ICU)对43例需行CRRT治疗的危重患者应用PiCCO技术进行容量监测的临床护理资料。结果本组43例患者行CRRT治疗后,全心舒张末期容积指数(GEDI)和血管外肺水指数(EVLWI)明显降低;28例血流动力学平稳,39例好转,2例死亡,2例因经济等原因自动出院;未出现严重并发症。结论危重患者CRRT治疗期间应用PiCCO技术进行容量监测,可有效指导超滤量调节,实现液体管理的个体化。Objective To investigate the volume status monitoring in critically ill patients during CRRT with PiCCO .Methods To analyze the clinical nursing data of 43 cases of critically ill patients ,who were from the ICU of Shenzhen Shajing Affiliated Hospital of Guangzhou Medical University ,during CRRT with volume status monitoring .Results The GEDI and EVLWI of 43 patients were significantly decreased after CRRT treatment . Twenty-eight patients maintained hemodynamic stability .Except that 2 patients died and 2 abandoned the treat-ment ,the rest 39 patients acquired clinical remission .No severe complication occurred .Conclusion Applying the volume status monitoring in critically ill patients during CRRT with PiCCO is helpful for adjusting ultrafiltration volume and individual liquor management .

关 键 词：危重病人医疗 连续性肾脏替代治疗 脉搏指示持续心输出量 

分 类 号：R473.5[医药卫生—护理学]