有创动脉血压监测在“8.2”昆山爆炸特大面积烧伤伤员救治中的应用  

Application of invasive arterial blood pressure monitoring in the treatment of Kunshan's large area burn injury on August 2

作　　者：徐晓婷[1] 朱玉玲[1] 王芳[1] 董帮娟 张艳艳[1] XU Xiaoting ZHU Yulin WANG Fang DONG Bangjuan ZHANG Yanyan(Burn and Plastic Surgery Department, Nanjing General Hospital of Nanfing Military Command, Nanjing, Jiangsu, 210002)

机构地区：[1]南京军区南京总医院烧伤整形科,江苏南京210002

出　　处：《实用临床医药杂志》2017年第8期139-141,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨有创血压监测在批量特大面积烧伤患者救治中的应用及效果评价,为抢救及治疗提供重要依据。方法对9名特大面积烧伤患者进行回顾性分析,8名患者进行有创动脉血压监测(IBPM),通过充满肝素盐水的专用测压管道与监护仪相连进行测压,观察动脉搏动波形及血压数值,对患者血压实行动态监护。结果在留置有创测压管期间能提供准确、可靠和连续的动脉血压数据,对病情评估、判断、治疗提供了可靠的指标。结论有创动脉压监测在特大面积烧伤患者休克期抢救中有重要的意义,通过取血行血气分析及常规实验室检测,可预防多次动静脉穿刺给患者带来的疼痛或血管壁损伤。Objective To investigate the application effect of invasive blood pressure monitoring for large area burn patients and provide an important basis for rescue and treatment. Methods A total of 9 patients admitted in our department suffering from the Kunshan blast on August 2, 2014 were reviewed. And 8 patients were performed invasive arterial blood pressure monitoring （IBPM） through the ECG monitor connected by a special pressure measuring pipe filled with heparin saline. Continuously invasive blood pressure was recorded by both artery pulse wave form and blood pressure value. Results The IBPM could present accurate, reliable and continuous arterial blood pressure data. It provided a reliable index for evaluating burn severity and treating the wounded. Conclusion IBPM has important significance in the rescue of patients with severe burn injury. Meanwhile, the blood gas analysis and laboratory test are allowed, which can avoid the pain and injury of blood vessel wall caused by repeated venipuncture.

关 键 词：有创动脉血压监测 特大面积烧伤 昆山爆炸 

分 类 号：R473.6[医药卫生—护理学]