医学综述
醫學綜述
의학종술
MEDICAL RECAPITULATE
2015年
7期
1223-1225
,共3页
韦妍飞(综述)%曹莉(审校)
韋妍飛(綜述)%曹莉(審校)
위연비(종술)%조리(심교)
感染性休克%脉搏指示连续心输出量监测%液体复苏%胸腔内血容积指数%血管外肺水指数
感染性休剋%脈搏指示連續心輸齣量鑑測%液體複囌%胸腔內血容積指數%血管外肺水指數
감염성휴극%맥박지시련속심수출량감측%액체복소%흉강내혈용적지수%혈관외폐수지수
Septic shock%Pulse indicator continuous cardiac output%Fluid resuscitation%Intrathoracic blood volume index%Extravascular lung water index
脉搏指示连续心输出量监测( PiCCO)技术是一项经肺温度热稀释和动脉脉搏轮廓分析联合应用的新技术,近年来逐渐广泛应用于重症患者,尤其是感染性休克患者的血流动力学监测。与传统容量监测指标中心静脉压相比,其容量性指标胸腔内血容积指数、血管外肺水指数能更准确、可靠地反映患者的容量状态,从而实施精细、优化的液体管理,在改善感染性休克患者氧合、缩短机械通气时间、降低病死率方面展现出优势。
脈搏指示連續心輸齣量鑑測( PiCCO)技術是一項經肺溫度熱稀釋和動脈脈搏輪廓分析聯閤應用的新技術,近年來逐漸廣汎應用于重癥患者,尤其是感染性休剋患者的血流動力學鑑測。與傳統容量鑑測指標中心靜脈壓相比,其容量性指標胸腔內血容積指數、血管外肺水指數能更準確、可靠地反映患者的容量狀態,從而實施精細、優化的液體管理,在改善感染性休剋患者氧閤、縮短機械通氣時間、降低病死率方麵展現齣優勢。
맥박지시련속심수출량감측( PiCCO)기술시일항경폐온도열희석화동맥맥박륜곽분석연합응용적신기술,근년래축점엄범응용우중증환자,우기시감염성휴극환자적혈류동역학감측。여전통용량감측지표중심정맥압상비,기용량성지표흉강내혈용적지수、혈관외폐수지수능경준학、가고지반영환자적용량상태,종이실시정세、우화적액체관리,재개선감염성휴극환자양합、축단궤계통기시간、강저병사솔방면전현출우세。
The pulse indicator continuous cardiac output ( PiCCO) device is a new technique, integra-ting a wide array of both static and dynamic haemodynamic data through a combination of trans-cardiopulm-onary thermodilution and pulse contour analysis.In recent years,PiCCO is widely used in the hemodynamic monitoring of critically ill patients especially those with septic shock .Compared with the traditional preload parameter central venous pressure ( CVP) ,the preload parameters of PiCCO as intrathoracic blood volume in-dex ( ITBVI ) and extravascular lung water index ( EVLWI ) can provide more accurate and reliable assessment of preload,and offer an appropriate and optimal management of fluid resuscitation for the patients . PiCCO have the advantages of improving oxygenation,shortening the duration of mechanical ventilation,and reducing the fatality rate.