目的观察严重心力衰竭患者的动脉波形连续心输出量,为患者在重症监护病房的护理提供参考。方法 50例严重心力衰竭患者均实施动脉波形连续心输出量监护(PICCO),观察结果。结果经过护理,50例严重心力衰竭患者中,监测时间4~11 d,平均时间(6.3±1.2)d。在监测过程中,50例患者留置导管监测,并未出现菌血症,其中有2例患者因为自身体温升高而停止监测,但是血培养中并未发现细菌;1例患者在监测期间,实行了主动脉内球囊反搏(IABP)。开始监测后,经过相应的治疗以及针对性的液体管理,患者的情况获得了较大的好转。36例治愈,20例好转,4例死亡。结论严重心力衰竭患者在重症监护病房的护理中,需通过PICCO来改善临床表现,缓解身体上的疼痛。 Objective To observe the continuous cardiac output of arterial waveform in patients with severe heart failure and provide reference for the patients’ care in intensive care unit. Methods Fifty patients with severe heart failure were enrolled in this study. PICCO was performed and the results were observed. Results After care, of 50 patients with severe heart failure, the monitoring time ranged from 4 to 11 days with an average of 6.3 ± 1.2 days. During the monitoring process, 50 patients were catheterized for monitoring without bacteremia. Two of them stopped monitoring for their own body temperature, but no bacteria were found in the blood culture. One patient was monitored during the monitoring period Intra-aortic balloon pump (IABP). After the start of monitoring, the patient’s condition has been greatly improved after appropriate treatment and targeted fluid management. 36 cases were cured, 20 cases improved, 4 cases died. Conclusion Serious heart failure patients in the ICU care, PICCO to improve clinical performance, relieve physical pain.