摘要
Abstract
Objective:To investigate the value of PUMCH critical ultrasonic management (PCUM) in the etiological diagnosis of severe patients with acute dyspnea or hemodynamic instability in ICU. Methods:Randomly selected 65 cases of severe patients with acute dyspnea or hemodynamic in-stability who were received to ICU from Apr 2013 to Jan 2015, all of them were accepted conventional treatment, meanwhile used PCUM to prelimi-nary judge their causes of disease, observed and recorded the initial judgment time, initial diagnosis accuracy of etiology and the sensitivity and speci-ficity of PCUM in etiological diagnosis. Results:Through the diagnosis by PCUM, the average initial judgment time was 14.9±5.4min, the average diagnosed time was 64.2±15.7min, the average initial proper treatment time was 33.4±13.9min. Conclusion:PCUM has a good effect on the early eti-ological judgment and assessment in dyspnea and hemodynamic instability, which can provide reliable information for early treatment, suggests fur-ther clinical promotion.关键词
危重病/重症超声管理/病因诊断/急性呼吸困难/血流动力学不稳定/ICUKey words
critical illness/PUMCH critical ultrasonic management/etiological diagnosis/acute dyspnea/hemodynamic instability/ICU分类
医药卫生
