PICCO在感染性休克患者早期液体复苏中的应用

Application of PICCO in earlier fluid resuscitation of septic shock patients

目的:探索PICCO在感染性休克患者复苏早期的作用。方法:回顾分析2012-01-2013-05EICU的成人(≥18岁)感染性休克患者57例。分为PICCO组和对照组分别记录心率、平均动脉压;中心静脉压;中心静脉血氧饱和度;氧合指数。结果:6h复苏液体量及24h复苏液体量;PICCO组复苏液体量小于对照组,PICCO组机械通气时间及入住ICU时间明显少于对照组(P<0.05)。结论:PICCO指导下进行的EGDT可以减少复苏液体量,降低肺水肿发生率,减少机械通气及ICU入住时间。

Objective：To discuss the application of PICCO in earlier fluid resuscitation of septic shock patients. Method：Retrospective analysis of 57 cases of septic shock adult（=18yr） patients in EICU between Jan,2012 and May,2013.The patients were divided into PICCO group and control group.Heart Rate（HR）,Mean Arterial Blood Pressure（MAP）,Central Venous Pressure（CVP）,Central Venous Oxygen Saturation（ScvO2） and Oxygenation Index（PaO2/FiO2） were recorded.Result：As for the differences between the quantity of resuscitation fluid of six hours and twenty four hours.The resuscitation fluid quantity of PICCO group is less than that of the control group.The durations of mechanical ventilation and ICU admission are obviously less than that of the control group（P0.05）.Conclusion：EGDT under the instruction of PICCO can reduce the quantity of resuscitation fluid, the rate of lung edema,the duration of mechanical ventilation and ICU admission.