血流动力学监测技术在脓毒性休克患者中的应用进展研究  

Progress of hemodynamic monitoring technique in patients with septic shock

作　　者：谢作华[1] XIE Zuo-hua(Intensive Care Unit,Nanning Second People's Hospital,Nanning 530031,China)

机构地区：[1]南宁市第二人民医院重症医学科,530031

出　　处：《中国实用医药》2024年第9期169-171,共3页China Practical Medicine

摘　　要：脓毒性休克临床发病率及致死率均较高,主要引发原因为病毒、细菌等感染导致患者出现循环衰竭或者细胞代谢异常。对患者血流动力学指标加强监测并实施液体复苏对于保持循环稳定有重要意义,能够使血管内容量不足得到有效纠正,既有助于保证组织灌注,还可使心输出量(CO)增加,避免发生器官功能衰竭现象,降低患者病死风险,改善患者生存质量。脓毒性休克患者实际诊疗过程中同一患者不同疾病时期以及不同患者感染因素、病理生理特征、宿主遗传学均存在较大的差异,临床在为脓毒性休克患者实施液体复苏治疗时,必须对患者疾病情况以及容量反应性加强监测,根据监测结果以及患者所处病情阶段制定个体化、针对性的液体复苏方案,最终使脓毒性休克患者病死风险有效降低,有效促进其预后改善,帮助患者生存获益。Septic shock has high clinical morbidity and lethality,and is mainly caused by viral and bacterial infections that lead to circulatory failure or abnormal cellular metabolism.Enhanced monitoring of patients'hemodynamic indicators and implementation of fluid resuscitation are important for maintaining circulatory stability,enabling effective correction of intravascular volume insufficiency,which not only helps to ensure tissue perfusion,but also increases cardiac output(CO),avoids the occurrence of organ failure,reduces the risk of death,and improves the quality of life of patients.In the actual diagnosis and treatment of septic shock patients,there are large differences in infection factors,pathophysiological characteristics and host genetics among the same patient at different disease stages and among different patients.Clinical liquid resuscitation therapy for septic shock patients must strengthen monitoring of the patient's disease status and volume responsiveness,and develop individualized and targeted liquid resuscitation programs according to the monitoring results and the patient's disease stage,so as to effectively reduce the risk of mortality in septic shock patients,effectively promote the improvement of their prognosis,and help patients benefit from the survival of the patient.

关 键 词：脓毒性休克 血流动力学监测 液体复苏 血容量不足 生存质量 

分 类 号：R459.7[医药卫生—急诊医学]