广西医学Issue(1)：44-46,3.DOI:10.11675/j.issn.0253-4304.2014.01.15
老年呼吸衰竭合并脓毒性休克患者血管外肺水指数的测定与预后
Detection and Prognosis of Extravascular Lung Water Index in Elderly Patients with Respiratory Failure and Septic Shock
摘要
Abstract
Objective To investigate the characteristics and prognostic value of extravascular lung water index ( EVLWI ) for the death in elderly patients with respiratory failure and septic shock .Methods Thirty-six elderly patients with respiratory failure and septic shock were divided into survival group ( 21 patients ) and death group ( 15 patients) according to clinical outcome .All the patients were monitored with pulse indicator continuous cardiac output (PICCO) monitor,and their EVLWI,general ejection fraction (GEF),system vascular resistance index (SVRI),central venous pressure ( CVP ) , cardiac index ( CI ) , heart rate ( HR ) and mean arterial pressure ( MAP ) were collected;The APACHEⅡscore and blood lactate(Lac) and were also recorded .Results APACHEⅡscore,Lac,EVLWI in the death group were significantly higher than those in the survival group (P<0.05),CI,GEF,SVRI,CVP,HR and MAP showed no significant difference between two groups ( all P>0 .05 ) .The ROC curve of EVLWI indicated that EVLWI≥10 ml/kg could be the value of prognosis for death ,and the sensitivity,specificity,positive predictive value,negative predictive value were 66.67%,90.48%,83.33%,79.17% respectively.Conclusion The mortality of elderly patients with respiratory failure and septic shock increases while EVLWI is significantly higher ,EVLWI≥10 ml/kg can be the value of prognosis for death .关键词
呼吸衰竭/脓毒性休克/血管外肺水指数/老年人Key words
Respiratory failure/Septic shock/Extravascular lung water index/Elderly分类
医药卫生引用本文复制引用
向淑麟..老年呼吸衰竭合并脓毒性休克患者血管外肺水指数的测定与预后[J].广西医学,2014,(1):44-46,3.基金项目
广西医药卫生科研课题 （）
