广西医科大学学报2017，Vol.34Issue(8)：1131-1134,4.DOI:10.16190/j.cnki.45-1211/r.2017.08.003
肺部超声评估急性呼吸窘迫综合征血管外肺水的临床价值
Clinical value of extravascular lung water assessed by lung ultrasound in patients with acute respiratory distress syndrome
摘要
Abstract
Objective:To investigate the clinical value and the feasibility of extravascular lung water (EVLW) assessed by lung ultrasound score of bedside lung ultrasound on patients with acute respiratory distress syndrome (ARDS).Methods:40 patients with ARDS treated in our hospital from January 2015 to December 2016 were selected and divided into mild,moderate and severe groups according to oxygenation index (PaO2/FiO2) in the "Bcrlin definition" diagnostic criteria.Patients were assessed by bedside ultrasound monitoring of lung scores and pulse index continuous cardiac output (PICCO) to obtain the EVLWI in the first day,the third day,and the seventh day after ARDS diagnosis.The lung ultrasound score,EVLWI and PaO2/FiO2 were compared among groups,and their correlation was analyzed as well.Results:There were significant differences in lung ultrasound score,EVLWI and PaO2/FiO2 among three groups (P＜0.05).Pearson correlation analysis showed that lung ultrasound score was negatively correlated with PaO2/FiO2 (r=-0.874,P＜0.001),and was positively associated with EVLWI (r=0.798,P＜0.001).Conclusion:Lung ultrasound score was an convenient,economical,and effective method for assessing EVLWI in patients with ARDS.关键词
血管外肺水/肺部超声评分/脉搏指示连续心排血量监测/氧合指数Key words
extravascular lung water/lung ultrasound score/pulse index continuous cardiac output/oxygenation index分类
医药卫生引用本文复制引用
李桂冰,熊滨,翰林,向淑麟,庞静..肺部超声评估急性呼吸窘迫综合征血管外肺水的临床价值[J].广西医科大学学报,2017,34(8):1131-1134,4.基金项目
广西卫计委科研课题基金资助项目(No.Z2015355,No.Z2013356) （No.Z2015355,No.Z2013356）
