中国临床保健杂志2011，Vol.14Issue(6)：592-595,4.DOI:10.3969/J.issn.1672-6790.2011.06.012
脉搏指数持续心输出量监测在感染性休克患者液体复苏中的应用
The effect of capacity index monitoring by PiCCO in fluid management in septic shock
王秋卉 1严洁 1严正 1戴幼竹 1杨挺1
作者信息
- 1. 江苏无锡市人民医院重症医学科,无锡214023
- 折叠
摘要
Abstract
Objective To investigate the effect of fluid management strategy in sptic shock patients by in-trathoracic blood volume index( ITBVI) ^extravascular lung water( EVLW) . Methods 36 septic shock patients in Intensive Care Unit( ICU ) were enrolled in the study ,18 patients who were monitored with PiCCO, and patients who used ITBVI ,,EVLW as indicator of fluid management were enrolled into PiCCO group;the other patients who received traditional fluid management strategy were enrolled into control group. Results After 72h APACHE II score, vasopressor score, clearance rate of lactic and PaO2/FiO2 in PiCCO group improved more than those in control group. There were no differences in 28-Day mortality, in hospital mortality, hospitalization time in ICU and time of mechanical ventilation between two groups; Compared with the control group the recovery success rate of the frist time of shock was higher in PiCCO group, duration of vasopreeor was shorter in PiCCO group. Conclusion Capacity index monitoring by PiCCO directed fluid management strategy can elevate reversal rate, improve tissue perfusion early and reduce damage of organ. EVLW in fluid management strategy maybe reduce edema of lung and improve oxygenate, but no advantage in improving outcome.关键词
休克,脓毒性/每搏输出量/中心静脉压/复苏术Key words
Shock,septic/Stroke volume/Central venous pressure/Resuscitation分类
医药卫生引用本文复制引用
王秋卉,严洁,严正,戴幼竹,杨挺..脉搏指数持续心输出量监测在感染性休克患者液体复苏中的应用[J].中国临床保健杂志,2011,14(6):592-595,4.
