感染性休克患者应用重症超声与连续心排血量监测(PiCCO)对比监测指导液体复苏的应用  

Application of Comparative Severe Ultrasound and Continuous Cardiac Output Monitoring (PiCCO) To the Instruct Liquid Recovery in Patients with Septic Shock

作　　者：吕立文[1] 唐宇涛[1] 罗丽[2] 潘春熹[1] 俞宁[1] 熊滨[3] Lv Li-wen Tang Yu-tao Luo Li et al(Department of Emergency Department of Ultrasonography,Guangxi Zhuang Autonomous Region People＇s Hospital, Nanning 530021, China)

机构地区：[1]广西壮族自治区人民医院急诊科,南宁530021 [2]广西壮族自治区人民医院超声科,南宁530021 [3]广西壮族自治区人民医院重症医学科,南宁530021

出　　处：《中国医药导刊》2017年第4期325-326,328,共3页Chinese Journal of Medicinal Guide

基　　金：广西科技攻关课题桂科攻(课题编号:15277007);课题名称:不同目标血压对老年脓毒症休克患者预后影响的临床研究

摘　　要：目的:重症超声与连续心排血量监测(PiCCO)监测指导感染性休克患者液体复苏的应用效果。方法:我院ICU收治的62例感染性休克患者,随机分为2组,比较两者患者的各项指标。结果:治疗后,对照组和观察组的各项检测指标均改善明显(P<0.05),观察组的急性生理学与慢性健康状况评分系统Ⅱ(APACHEⅡ)Ⅱ评分与对照组比较,显著低于对照组,氧合指数与对照组比较,显著高于对照组(P<0.05)。观察组的复苏液体量、乳酸清除率、入住ICU时间、机械通气时间、肺水肿发生率、治疗后7d死亡率均少于对照组(P<0.05)。结论:重症超声监测指导感染性体克患者液体复苏的应用效果显著。Objective： Critical ultrasonography and PiCCO on the resuscitation of patiwith septic shock department of ourhospitals ICU,were divided into two groups,compared the patients indicatment ,the control group and the observation group were significantly improved （P 〈0.05） , Compared with the control group , the APACHE n score of the observation group was significantly lower than that of the control group,the oxygenation index was significantly higher thanthat of the control group （P 〈0. 05）,The rate of resuscitation fluid,lactic acid clearance rate,ICU time,mechanical vdence of pulmonary edema,and 7 days after treatment were less than those in the control group （ P 〈 0. 05 ）. Conclusion ： Critical ultrasound monitoring is effective in guiding fluid resuscitation in patients with septic shock,and worthy of clinical application.

关 键 词：重症超声 连续心排血量监测 感染性休克 液体复苏 

分 类 号：R459.7[医药卫生—急诊医学]