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目的探讨中心静脉压(CVP)监测在重症肺炎中的临床应用及CVP监测对重症肺炎治疗中指导意义。方法 48例重症肺炎患者,27例入室后进行CVP监测作为实验组,21例未行CVP监测作为对照组,观察两组疗效。结果实验组死亡6例,对照组死亡5例,共死亡11例,死因均为多器官功能衰竭,好转并转普通病房37例。结论 CVP监测在重症肺炎治疗过程中,对进行合理容量复苏,同时降低心率、乳酸及吸入氧浓度有着指导意义,但对降低死亡率无意义。
Objective To investigate the clinical application of central venous pressure (CVP) monitoring in severe pneumonia and the guiding significance of CVP monitoring in the treatment of severe pneumonia. Methods Forty-eight patients with severe pneumonia were enrolled. Twenty-seven patients were enrolled in the study. CVP monitoring was used as the experimental group, and 21 patients without CVP monitoring as the control group. The curative effect was observed in both groups. Results In the experimental group, 6 patients died and 5 patients died in the control group. Eleven patients died in total. The cause of death was multiple organ failure, which was improved and transferred to 37 general wards. Conclusion CVP monitoring plays a guiding role in the process of resuscitation with reasonable volume, while reducing heart rate, lactic acid and inhaled oxygen concentration in the course of treatment of severe pneumonia, but it is not meaningful to reduce mortality.