中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2008年
12期
1272-1274
,共3页
创伤性休克%容量复苏%血流动力学%氧输送
創傷性休剋%容量複囌%血流動力學%氧輸送
창상성휴극%용량복소%혈류동역학%양수송
Traumatic shock%Fluid resuscitation%Hemodynamics%Oxygen delivery
目的 探讨大容量复苏对早期严重创伤性休克患者血流动力学和氧输送的影响.方法 监测24例严重腹部创伤患者不同容量复苏时的血流动力学和氧代谢指标.结果 容量复苏收缩压从80～90mm Hg(1 mm Hg=0.133 kPa)上升到100～120 mm Hg时,平均复苏容量分别为(2286±521)ml(1 h)和(3486±758)ml(2 h).心脏指数(CI)从(2.0±0.5)L/(min·m2)上升为(3.2±0.6)L/(min·m2)(P<0.05),体循环阻力指数(SVRI)从(1857.6±750.2)dyn·s/(cm5·m2)上升为(3741.5±862.1)dyn·s/(cm5·m2)(P<0.05),与之相对应,氧输送指数(DO2)从(301.1±74.1)ml/(min·m2)升为(554.1±80.0)ml/(min·m2)(P<0.05),氧耗指数(VO2)为(99.7±51.4)ml/(min·m2)升为(147.2±60.1)mL/(min·m2)(P<0.05),氧摄取指数(O2ext)为(33.1±9.1)%下降至(26.6±8.0)%(P<0.05).结论 在急诊抢救中,早期大容量复苏能改善血流动力学和氧代谢.
目的 探討大容量複囌對早期嚴重創傷性休剋患者血流動力學和氧輸送的影響.方法 鑑測24例嚴重腹部創傷患者不同容量複囌時的血流動力學和氧代謝指標.結果 容量複囌收縮壓從80～90mm Hg(1 mm Hg=0.133 kPa)上升到100～120 mm Hg時,平均複囌容量分彆為(2286±521)ml(1 h)和(3486±758)ml(2 h).心髒指數(CI)從(2.0±0.5)L/(min·m2)上升為(3.2±0.6)L/(min·m2)(P<0.05),體循環阻力指數(SVRI)從(1857.6±750.2)dyn·s/(cm5·m2)上升為(3741.5±862.1)dyn·s/(cm5·m2)(P<0.05),與之相對應,氧輸送指數(DO2)從(301.1±74.1)ml/(min·m2)升為(554.1±80.0)ml/(min·m2)(P<0.05),氧耗指數(VO2)為(99.7±51.4)ml/(min·m2)升為(147.2±60.1)mL/(min·m2)(P<0.05),氧攝取指數(O2ext)為(33.1±9.1)%下降至(26.6±8.0)%(P<0.05).結論 在急診搶救中,早期大容量複囌能改善血流動力學和氧代謝.
목적 탐토대용량복소대조기엄중창상성휴극환자혈류동역학화양수송적영향.방법 감측24례엄중복부창상환자불동용량복소시적혈류동역학화양대사지표.결과 용량복소수축압종80～90mm Hg(1 mm Hg=0.133 kPa)상승도100～120 mm Hg시,평균복소용량분별위(2286±521)ml(1 h)화(3486±758)ml(2 h).심장지수(CI)종(2.0±0.5)L/(min·m2)상승위(3.2±0.6)L/(min·m2)(P<0.05),체순배조력지수(SVRI)종(1857.6±750.2)dyn·s/(cm5·m2)상승위(3741.5±862.1)dyn·s/(cm5·m2)(P<0.05),여지상대응,양수송지수(DO2)종(301.1±74.1)ml/(min·m2)승위(554.1±80.0)ml/(min·m2)(P<0.05),양모지수(VO2)위(99.7±51.4)ml/(min·m2)승위(147.2±60.1)mL/(min·m2)(P<0.05),양섭취지수(O2ext)위(33.1±9.1)%하강지(26.6±8.0)%(P<0.05).결론 재급진창구중,조기대용량복소능개선혈류동역학화양대사.
Objective To observe the effect of fluid resuscitation on hemodynamies and oxygen in severe trauma patients. Methods Parameters of hemodynamic and oxygen metabolism in different fluid volume resuscita-tion in 24 severe trauma patients who were injured on abdominal were measured. Results By fluid resuscitation, as the systolic blood pressure was raised from 80～90 mm Hg(1 mm Hg=0.133 kPa) to 100～120 mm Hg,cardiac in-dex rose from (2.0±0.5 ) L/(min·m2) to (3.2±0.6) L/(min·m2) (P<0.05), systemic vascular resistance index rose from (1857.6±750.2) dyn·s/(cm5·m2) to (3741.5±862.1) dyn·s,/(cm5·m2) significantly (P<0.05). Meanwhile, oxygen delivery index rose from (301.1±74.1) ml/(min·m2) to (554.1±80.0) mL/(min·m2) (P<0.05), and oxygen consumption index also rose (99.7±51.4) mL/( min·m2) to (147.2± 60.1) mL/(min·m2) remarkably (P<0.05), the rate of oxygen expenditure decreased from (33.1±9.1) % to (26.6±8.0) % significantly (P<0.05). Conclusion Large volume resuscitation maybe benefit to the improve-ment of hemodynamics and oxygen metabolism in the emergency resuscitation.
