PICCO指导的液体管理在失血性休克合并肺水肿治疗中的意义

Significance of Fluid Management Guided by PICCO in the Treatment of Hemorrhagic Shock Complicated with Pulmonary Edema

目的 分析在失血性休克合并肺水肿患者的临床治疗中,PICCO监测指导下的液体管理的具体应用意义。方法 选取我院于2014年6月-2016年1月收治的40例失血性休克合并肺水肿患者为研究对象,将所选患者随机分为对照组与干预组,对照组患者接受中心静脉压和胸片监测,干预组患者则接受PICCO监测,监测数据用于指导下一阶段治疗的液体管理方案。对比两组患者治疗72 h后的主要指标情况。结果 干预组患者的相关指标要明显优于对照组患者,两组患者的数据经对比后存在明显的统计学差异（P〈0.05）。结论 在失血性休克合并肺水肿患者的临床治疗中,PICCO监测指导下的液体管理具有较好的应用意义,故在此类病人中值得推广。

To analyze the clinical treatment of hemorrhagic shock in patients with pulmonary edema in the application significance of fluid management under the guidance of PICCO monitoring. Methods 40 cases with loss of hemorrhagic shock with puhnonary edema were selected in our hospital from June 2014 to January 2016 as the research objects, the selected patients were randomly divided into control group and intervention group. Control group patients received central venous pressure and chest X-ray monitoring, the intervention group were accepted PICCO monitoring, dual monitoring data were used to guide the next phase of treatment fluid management solutions. Compared two groups of patients after major indicators 72 h. Results The indexes of the intervention group patients were significantly better than those of patients in the control group, two groups data were compared and had statistically significant difference （P 〈 0.05 ） . Conclusion In the clinical treatment of patients with hemorrhagic shock with pulmonary edema, PICCO monitoring under the guidance of the liquid management has a good sense of application, it is worth promoting in this category of patients.