血管外肺水(EVLW)对患者预后评估的观察

Extravascular lung water(EVLW)to evaluate the prognosis of patients

目的:探讨回顾性观察分析Picco监测过程中,血管外肺水(EVLW)值对患者预后转归的价值。方法:回顾性观察分析进行Picco监测的56例患者。观察患者入ICU后监测6小时、12小时、24小时、48小时的EVLW值,并分析患者死亡率情况。结论:通过观察分析,在所监测病例中,血管外肺水指标以10ml/kg为分界,随着EVLW值的增长,患者死亡率明显升高。EVLW值的升高,且持续维持在较高的水平,对判断患者的死亡率有一定意义。

Objective:To retrospective analyze the value of prognosis for the patients with extravascular lung water(EVLW) in the process of Picco monitoring.Methods:56 patients with Picco monitoring were selected,we retrospective analyzed the patient mortality the value of EVLW after the patients were taken in ICU monitoring for 6 hours,12 hours,24 hours,48 hours.Conclusion:Through the observation and analysis in the monitoring of cases,we fond extravascular lung water index with 10ml/kg as the boundary,the mortality significantly increased along with the pulmonary water value growth.The value of extravascular lung water(ELWI) has certain significance for judging patient mortality.