检验医学与临床2018，Vol.15Issue(4)：507-509,3.DOI:10.3969/j.issn.1672-9455.2018.04.023
床旁超声心动图评价心功能不全患者呼吸机撤离失败原因
Analysis of ventilator weaning failure in patients with cardiac insufficiency in evaluation with bedside echocardiography
方旭晨 1叶旭辉 1涂春莲 1王敏鹏 1拜兰1
作者信息
- 1. 上海市杨浦区市东医院重症医学科 200438
- 折叠
摘要
Abstract
Objective To investigate the value of bedside echocardiography on evaluating the reason of ventilator weaning failure in patients with cardiac insufficiency.Methods 60 cases patients with cardiac insuf-ficiency treated by ventilator from April 2013 to July 2015 were divided into research group and control group according to the ventilator weaning success or not,30 cases in each group.The former was the group whose ventilator weaning success,and the latter was the group whose ventilator weaning Heart rate(HR),left ven-tricular diastolic volume(EDV),systolic volume(ESV),ejection fraction(EF),maximum time segment L6 peak time difference(Tmsv16-Dif)and standard deviation(Tmsv16-SD),and peak ejection rate(PER)and peak fill-ing rate(PFR)were detected by bedside echocardiography system.Results HR and EF in the research group were significantly lower than those in the control group(P<0.05),while EDV and ESV were significantly higher than those in the control group(P<0.05).There were not significant differences on PER and PFR be-tween the two groups(P> 0.05),but Tmsv16-SD,Tmsv16-SD,Tmsv16-SD% and Tmsv16-SD% in the re-search group were significantly higher than those in the control group(P<0.05).Conclusion Bedside echo-cardiography can reflect the condition of patients with cardiac insufficiency accurately,and can provide guid-ance to find the reason of ventilator weaning failure,which has a high clinical value.关键词
床旁超声心动图/心功能不全/呼吸机撤离失败Key words
bedside echocardiography/cardiac insufficiency/ventilator weaning failure分类
医药卫生引用本文复制引用
方旭晨,叶旭辉,涂春莲,王敏鹏,拜兰..床旁超声心动图评价心功能不全患者呼吸机撤离失败原因[J].检验医学与临床,2018,15(4):507-509,3.
