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目的:探讨在脓毒性休克早期应用无创血液动力学监护系统的必要性和可行性,评估其早期揭示循环功能不良和在在脓毒性休克治疗中的指导作用。方法:将80例脓毒性休克患者随机分为治疗组和对照组两组。对其中对照组40例采用快速输液复苏;治疗组40例行无创血液动力学监测控制液体量行充分液体复苏,比较两组的平均住ICU时间,肺水肿、心功能不全、MODS发生率和病死率。结果:两组住ICU时间比较,治疗组与对照组比较差异有统计学意义(P<0.05);两组并发症发生率和病死率比较,治疗组与对照组比较并发症肺水肿、心功能不全差异有统计学意义(P<0.05),MODS及病死率两组比较差异无统计学意义(P>0.05)。结论:应用无创血液动力学监护系统对脓毒性休克早期诊断和治疗有一定的指导作用。
Objective: To investigate the necessity and feasibility of using noninvasive hemodynamic monitoring system early in septic shock, and to evaluate its early indications of poor circulatory function and its guiding role in the treatment of septic shock. Methods: Eighty septic shock patients were randomly divided into treatment group and control group. Forty cases of control group received rapid infusion resuscitation. In the treatment group, 40 cases underwent noninvasive hemodynamic monitoring to control the volume of liquid for adequate liquid resuscitation. The mean ICU duration, pulmonary edema, cardiac dysfunction, incidence of MODS and mortality in the two groups were compared rate. Results: Comparing the two groups living ICU time, the treatment group and the control group, the difference was statistically significant (P <0.05); two groups of complication rates and mortality compared to the treatment group and the control groupComparison of pulmonary edema, cardiac function The difference was not statistically significant (P <0.05). There was no significant difference between the two groups in MODS and mortality (P> 0.05). Conclusion: The application of noninvasive hemodynamic monitoring system can guide the early diagnosis and treatment of septic shock.