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每搏量变异度监测在脓毒血症休克行机械通气患者血容量复苏中的应用 被引量：10

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摘要 目的探讨每搏量变异度(SVV)监测在脓毒血症休克行机械通气患者血容量复苏中的应用。方法脓毒血症休克行机械通气患者71例,分为SVV、中心静脉压(CVP)组,分别用经外周动脉波形分析(FloTrac-Vigileo)系统监测SVV和传统CVP监测来指导血容量复苏,比较6 h后两组中心静脉氧饱和度(ScvO2)、MAP、24 h后血乳酸水平及急性生理和慢性健康状况评估(APACHEⅡ)评分情况。结果 6 h后SVV组与CVP组ScvO2、MAP相近(P均>0.05),24 h后SVV组血乳酸水平及APACHEⅡ评分明显低于CVP组(P均<0.05)。结论 SVV监测能更好地指导脓毒血症休克行机械通气患者的血容量复苏,效果优于传统CVP监测。
作者 张琳 莫宝定 钟明媚 张金 章车明
机构地区 合肥市第一人民医院
出处 《山东医药》 CAS 2013年第2期73-74,共2页 Shandong Medical Journal
关键词 每搏量变异度 中心静脉压 血流动力学检测技术 血容量不足 脓毒血症 感染性休克 机械通气
分类号 R459.4 [医药卫生—治疗学]
  • 相关文献

参考文献15

  • 1成人严重感染与感染性休克血流动力学监测与支持指南[J].中华内科杂志,2007,46(4):344-349. 被引量：91
  • 2Takahashi H,Tagawa K,Suzuki T. Effect of individualized goal directed therapy on outcome after major sugery[J].Masui-Japanese Journal of Anesthesiology,2012,(10):1071-1076.
  • 3Rivcrs EP,Katranji M,Jaehne KA. Early interventions in severe sepsis and septic shock:a review of the evidence one decade later[J].Minerva Anestesiologica,2012,(06):712-724.
  • 4Rivers E,Nguyen B,Havstad S. Early goal-directed therapy in the treatment of severe sepsis and septic shock[J].New England Journal of Medicine,2001,(19):1368-1377.
  • 5Dellinger RP,Carlet JM,Masur H. Surviving Sepsis Campaign guidelines for management of severe sepsis and septic shock[J].Critical Care Medicine,2004,(03):858-873.
  • 6Shen HN,Lu CL,Li CY. Dementia increases the risks of acute organ dysfunction,severe sepsis and mortality in hospitalized older patients:a national population-based study[J].PLoS One,2012,(08):427-451.
  • 7任建安.重症脓毒症和脓毒症休克治疗指南[J].中国实用外科杂志,2005,25(1):37-41. 被引量：34
  • 8刘松桥,邱海波,杨毅,陈永铭,李家琼,沈菊芳.每搏输出量变异度和胸腔内血容量指数对失血性休克犬容量状态的评价[J].中华外科杂志,2006,44(17):1216-1219. 被引量：27
  • 9Hofer CK,Senn A,Weibel L. Assessment of stroke volume variation tor prediction of fluid responsiveness using the modified FloTrac and PiCCOplus system[J].Critical Care,2008,(03):82.
  • 10Cannesson M,Musard H,Desebbe O. The ability of stroke volume variations obtained with Vigileo/FloTrac system to monitor fluid responsiveness in mechanically ventilated patients[J].Anesthesia and Analgesia,2009,(02):513-517.

二级参考文献27

  • 1成人严重感染与感染性休克血流动力学监测与支持指南[J].中华内科杂志,2007,46(4):344-349. 被引量：91
  • 2Dombrovskiy VY,Martin AA,Sunderram J,et al.Rapid increase in hospitalization and mortality rates for severe sepsis in the United States:a trend analysis from 1993 to 2003[J].Crit Care Med,2007,35(5):1244-1250.
  • 3Rivers EP,Nguyen HB,Amponsah D.Sepsis:a landscape from the emergency department to the intensive care unit[J].Crit care Med,2003,31(3):968-969.
  • 4Stewart RM,Park PK,Hunt JP,et al.Less is more:improved out-comes in surgical patients with conservative fluid administration and central venous catheter monitoring[J].J Am Coll Surg,2009,208(5):725-735.
  • 5Peters SG,Afessa B,Decker PA,et al.Increased risk associated with pulmonary artery catheterization in the medical intensive care unit[J].J Crit Care,2003,18(3):166-171.
  • 6Halvorsen PS,Espinoza A,Lundblad R,et al.Agreement between PiCCO pulse-contour analysis,pulmonal artery thermodilution and transthoracic thermodilution during off-pump coronary artery by-pass surgery[J].Acta Anaesthesiol Scand,2006,50(9):1050-1057.
  • 7Manecke GR,Peterson M,Auger WR.Cardiac output determination using arterial pulse:a comparison of a novel algorithm against continuous and intermittent thermodilution[J].Crit Care Med,2004,32(12):A43.
  • 8de Waal EE,Kalkman CJ,Rex S,et al.Validation of a new arterial pulse contour-based cardiac output device[J].Crit Care Med,2007,35(8):1904-1909.
  • 9Pinsky M R,Payen D.Functional hemodynamic monitoring[J].Crit Care,2005,9(6):566-572.
  • 10Kim H K,Pinsky M R.Effect of tidal volume,sampling duration,and cardiac contractility on pulse pressure and stroke volume variation during positive-pressure ventilation[J].Crit Care Med,2008,36(10):2858-2862.

共引文献156

同被引文献86

  • 1唐燕.血乳酸水平和乳酸清除率评估脓毒血症的预后价值[J].医学信息（医学与计算机应用）,2014,0(10):188-188. 被引量：3
  • 2成人严重感染与感染性休克血流动力学监测与支持指南[J].中华急诊医学杂志,2007,16(2):121-126. 被引量：69
  • 3Nguyen H B, Loomba M, Yang J J, et al.Early lactate clearKnce is associated with biomarkers of inflammation, coagulation, apoptosis organ dysfunction and mortality in severe sepsis and septic Bhock[J].J lnflamrn ( Lond ), 2010, 25 ( 7 ) : 6.
  • 4Dellinger RP,Levy MM,Rhodes A,et al.Sunriving Sepsis Campaign: International Guidelines for management of Severe Sepsjs and Septic Shock: 2012[J].Crit Care Med, 2013,39(2) : 165-228.
  • 5中华医学会.重症医学专科资质培训材料[M].北京:人民卫生出版社.2010:4～5.
  • 6Dombrovskiy VY,Martin AA, Sunderram J. et al. Rapid increase in hespitalqzation and mortality rates for severe sepsis in the U- nited States:a trend analysis from 1993 to 2003 [J]. Crit Care Med,2007,35(5) : 1244 - 1250.
  • 7Rivers EP, Nguyen HB, Amponsah D. Sepsis: a landscape from the emergency department to the intensive care unie [ J]. Crit care Med,2003,31 (3) :968 -969.
  • 8Khwannimit B, Bhurayanontachai R. Prediction of fluid responsice- ness in septic shock patients:comparing stroke volume variation by FloTrac/Vigileo and automated pulse pressure variation [ J].. Eur J Anaesthesio1,2012,29 (2) :64 - 69.
  • 9Cannesson M, Musard H,Desebbe O, et al. The ability of stroke vo- lume variations obtained with Vigileo/FloTrac system to monitor fluid responsiveness in mechanically ventilated patients [ J ]. Anesth Analg,2009,108 (2) :513 -517.
  • 10张建新,梁东良,李雪亮,杨亚勤.参附注射液治疗18例急性有机磷农药中毒性休克的疗效观察[J].中国医学创新,2010,7(8):53-54. 被引量：2

引证文献10

二级引证文献31

山东医药
2013年 第2期

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