现代医药卫生2016，Vol.32Issue(14)：2131-2133,3.DOI:10.3969/j.issn.1009-5519.2016.14.006
重症超声快速管理方案在ICU重症患者急性呼吸困难或血流动力学不稳定病因诊断中的作用
Effect of Critical Ultrasonic Rapid Management Program on etiological diagnosis of acute dyspnea or hemodynamic in-stability in ICU severe patients
摘要
Abstract
Objective To observe and explore the effect of the Critical Ultrasonic Rapid Management Program on the e tiological diagnosis of acute dyspnea or hemodynamic instability in ICU severe patients. Methods A total of 100 ICU severe patients with acute dyspnea or hemodynamic instability in Qianjiang Central Hospital from December 2012 to December 2014 were performed the clinical related research for analyzing the effect of implementing the Critical Ultrasonic Rapid Management Program on the etiological diagnosis of acute dyspnea or hemodynamic instability. Results The main causes of acute dyspnea or hemodynamic instability in ICU severe patients were acute pulmonary edema(19 cases),distributive shock(16 cases),acute res-piratory distress syndrome (15 cases),pneumonia (lung consolidation,12 cases),acute pulmonary embolism (10 cases) and car diogenic shock(10 cases). The diagnostic accuracy rates of the Critical Ultrasonic Rapid Management Program for above etiologies were 89.47%,93.75%,93.33%,91.67%,88.89% and 90.00% respectively,the sensitivities were 93.56%,92.35%,90.31%, 88.36%,90.21% and 91.69% respectively,the specificities were 93.33%,93.58%,94.02%,98.61%,98.62% and 95.02% re-spectively. Conclusion The Critical Ultrasonic Rapid Management Program can rapidly diagnose the causes of acute dyspnea or hemodynamic instability in ICU severe patients,moreover has higher diagnostic accuracy, sensitivity and specificity.关键词
危重病/重症监护病房/急性病/呼吸困难/血流动力学/诊断Key words
Critical illness/Intensive care units/Acute disease/Dyspnea/Hemodynamics/Diagnosis引用本文复制引用
赖晓东,许珊,赖晓宁..重症超声快速管理方案在ICU重症患者急性呼吸困难或血流动力学不稳定病因诊断中的作用[J].现代医药卫生,2016,32(14):2131-2133,3.基金项目
重庆市卫生局2013年医学科研项目（2013-1-057）。 （）
