CAJ | 학술논문

目的：分析脉搏波形轮廓稳定稀释心排量测量技术（pulse indicator continous cardiac output，PiCCO）监测血流动力学指标对重症脑血管病死亡率的影响。方法连续纳入重症脑血管病患者，在入院72 h内进行PiCCO监测，按照发病28 d随访患者是否死亡分为死亡组和存活组，比较2组的基线资料、临床特点、血液生化指标及PiCCO监测指标。结果入院7 d时死亡组血管外肺水指数（extravascular lung water index，EVLWI）异常增高例数显著高于存活组（P=0.007）；而且存活组入院7 d与首次监测时EVLWI的差值也显著小于死亡组（P=0.043）。结论重症脑血管病患者入院后PiCCO监测EVLWI指标的增高可能与患者死亡有关。
목적：분석맥박파형륜곽은정희석심배량측량기술（pulse indicator continous cardiac output，PiCCO）감측혈류동역학지표대중증뇌혈관병사망솔적영향。방법련속납입중증뇌혈관병환자，재입원72 h내진행PiCCO감측，안조발병28 d수방환자시부사망분위사망조화존활조，비교2조적기선자료、림상특점、혈액생화지표급PiCCO감측지표。결과입원7 d시사망조혈관외폐수지수（extravascular lung water index，EVLWI）이상증고례수현저고우존활조（P=0.007）；이차존활조입원7 d여수차감측시EVLWI적차치야현저소우사망조（P=0.043）。결론중증뇌혈관병환자입원후PiCCO감측EVLWI지표적증고가능여환자사망유관。
Objective To analyze the effect of the new hemodynamics monitor technique Pulse Indicator Continous Cardiac Output(PiCCO) in the prognosis of severe cerebral vascular disease patients. Methods We consecutively enrolled the severe cerebral vascular disease patients after admission and applied PiCCO monitoring within 72 hours. We compared the baseline, clinical data and PiCCO monitoring result in the survival group and the death group. Results The patients who dead on the 7th day after admission had an abnormally elevating extravascular lung water index(EVLWI) compared with the survival group(P=0.007), and the difference of the first EVLWI and on the 7th day was significantly lower in the survival group (P=0.043). Conclusion PiCCO monitoring detected the elevation of EVLWI may indicate the death after admission of the severe cerebral vascular disease patients.