中国现代医学杂志2016，Vol.26Issue(22)：88-91,4.DOI:10.3969/j.issn.1005-8982.2016.22.019
脉波轮廓温度稀释连续心排量测量在脓毒症合并急性呼吸窘迫综合征患者中的临床应用价值
Clinical values of PICCO in management of sepsis and acute respiratory distress syndrome
黄建 1罗文钰 1王永芳 1王君磊1
作者信息
- 1. 江苏省昆山市第一人民医院 重症医学科，江苏 昆山 215300
- 折叠
摘要
Abstract
Objective To compare the clinical values of pulse indicator continuous cardiac output (PICCO) and central venous pressure (CVP) in the management of sepsis and acute respiratory distress syndrome (ARDS). Methods From Jan. 2013 to Dec. 2015, 120 patients with sepsis and ARDS were enrolled in this prospective study. According to the completely randomized control principle (1 :1), the patients were signed into PICCO group or CVP group. The patients in the PICCO group received early fluid resuscitation under the guidance of PICCO while the patients in the CVP group received early fluid resuscitation under the guidance of CVP. The primary outcomes included long-term clinical outcomes, clinical interventions and major complications. Results The patients in the two groups had significant differences in the mortality, the hospital duration, the intensive care unit duration, the rate of transient multiple organ dysfunction, the rate of persistent multiple organ dysfunction, the grading of acute kidney injury, the antibiotic use duration, the mechanical ventilation duration and continuous blood filtration time ( <0.05). There was no significant difference between the two groups in the severity classification of ARDS, the rate of vasoactive drug use, the blood transfusion rate, the rate of mechanical ventilation or the rate of continuous blood filtration ( > 0.05). Conclusions PICCO improves the clinical outcomes of patients with sepsis and ARDS. It is worthy of worldwide spreading.关键词
脓毒症/急性呼吸窘迫综合征/脉波轮廓温度稀释连续心排量测量/中心静脉压Key words
sepsis/acute respiratory distress syndrome/pulse indicator continuous cardiac output/central venous pressure分类
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黄建,罗文钰,王永芳,王君磊..脉波轮廓温度稀释连续心排量测量在脓毒症合并急性呼吸窘迫综合征患者中的临床应用价值[J].中国现代医学杂志,2016,26(22):88-91,4.
