脉搏指示连续心排血量监测技术在骨盆骨折合并失血性休克患者中的应用及护理

Nursing of pulse-indicated continuous cardiac output technique in pelvic fracture patients with hemorrhagic shock

目的探讨脉搏指示连续心排血量监测技术(PICCO)在骨盆骨折合并失血性休克患者中的应用及护理方法。方法对急诊重症监护室(EICU)收治的82例骨盆骨折合并失血性休克患者的临床及护理资料进行回顾性分析。结果 82例患者中,病情好转转科或出院74例,死亡8例,其中并发急性肾衰竭6例。结论骨盆骨折合并失血性休克患者采用PICCO技术能精准反映患者的容量状态,在PICCO的管理和观察中保证PICCO监测安全有效是救治成功的关键。

Objective To investigate the clinical nursing methods of pulse- indicated con- tinuous cardiac output（PICCO） system in pelvic fracture patients with hemorrhagic shock. Methods The clinical data of 82 pelvic fracture patients with hemorrhagic shock treated in emergency inten- sive care unit （EICU） were retrospectively analyzed. Results In 82 patients, 74 improved patients transferred to other departments or discharged and 8 patients died including 6 patients with acute re- nal failure. Conclusion Pelvic fracture patients with hemorrhagic shock using PICCO technology can accurately reflect the volume state. The PICCO management and PICCO safety is the key to en- sure successful treatment.