PICCO在急性呼吸综合征中的应用价值.docVIP

PICCO在急性呼吸综合征中的应用价值 　　[摘要] 目的 分析PICCO监测在急性呼吸综合征中的临床应用价值。 方法 收集2012年1月～2013年5月本院收治的急性呼吸综合征患者共38例，均予以带有温度感应的专用PICCO动脉导管进行监测，并实施相应的护理操作，观察患者的疗效、住院时间以及并发症情况。 结果 本组38例患者中，死亡3例，其余患者均成功脱离呼吸机支持，PICCO导管留置时间为（6.4±2.6）d，平均住院时间为（20.5±6.7）d，检测过程中均未出现导管相关性血流感染。 结论 在急性呼吸综合征的治疗中早期实施PICCO监测可有效反映患者的血流动力学情况，有利于指导临床治疗，并协助液体的管理，从而有助于患者尽早脱机，改善预后。 　　[关键词] 急性呼吸综合征；PICCO监测；临床应用 　　[中图分类号] R563.9 [文献标识码] B [文章编号] 1674-4721（2013）11（b）-0195-02 　　Application value of PICCO in acute respiratory syndrome 　　WU Shou-kun KUANG Yu-qun CAI Wei-dan WU Rong-le 　　Department of Intensive Care Unit，People′s Hospital of Taishan City in Guangdong Province，Taishan 529200，China 　　[Abstract] Objective To analyze the clinical application value of PICCO monitoring in acute respiratory syndrome. Methods A total of 38 patients with acute respiratory syndrome who were admitted to our hospital from January 2012 to May 2013 were given dedicated PICCO arterial duct with temperature sense and corresponding nursing measures.The efficacy，hospitalization time and complications of the patients were observed. Results Of the 38 patients，3 cases died and the rest broke away from the breathing machine successfully；the average PICCO duct indwelling time were （6.4±2.6） days and the average hospitalization time were （20.5 ± 6.7） days；no duct related bloodstream infection was observed during the detection process. Conclusion The early implementation of PICCO monitoring in the treatment of patients with acute respiratory syndrome can effectively reflect the patients′ hemodynamics，help guide clinical treatment and assist fluid management，thus accelerate breaking away from breathing machine and improve prognosis. 　　[Key words] Acute respiratory syndrome； Pulse wave indicator continuous cardiac output monitoring；Clinical application 　　急性呼吸综合征是指肺内或肺外严重病变引发肺泡上皮细胞以及肺毛细血管内皮细胞损伤，从而引发弥漫性的肺间质以及肺泡水肿，主要特征为进行性的低氧血症以及呼吸窘迫[1]。急性呼吸综合征起病较急且发展非常迅速，临床治疗预后较差，病死率较高[2]。PICCO是一种经肺温度稀释心排血量以及脉波轮廓连续心排血量相联合的技术，危险性以及创伤均较小，仅通过动脉导管以及中心静脉导管即可简便、连续、精确地