摘要
目的:为实施烧伤休克期液体复苏多指标监测,创造条件进行有创血压监测,并观察其临床应用的可行性及实用价值。方法:选择19例特重、4例重度烧伤患者桡动脉15次、足背动脉12次、股动脉3次、肱动脉5次,进行动脉穿刺、测压。通过观察动脉搏动波形及血压数值,对患者血压实行动态监护,并与同体无创血压对比。结果:有创血压的监测可连续监测血压数值及变化。有创动脉压较无创血压高5-20mmHg,但与无创血压的变化同步,相关性较好。结论:有创动脉压监测因可显示动脉波形和数值的动态变化,能及时发现患者的病情变化,灵敏度大于无创血压监测,在严重烧伤患者监测中具有重要的意义。
Objective To evaluate the feasibility and clinical value of invasive blood pressure monitoring in fluid resuscitation of severe burn patients in shock period. Methods Nineteen patients with very severe burn and 4 with severe burn were enrolled in this study, whose radial artery (15 times), dorsal artery of foot (12 times), femoral artery (3 times) and brachial artery (5 times) were successfully punctured by Teflon cannula needle. Blood pressure was continuous measured through the specific pipeline flushed with hepalean saline, which was connected to the monitor. Continuously invasive blood pressure values was recorded by both artery pulse wave form and blood pressure value and simultaneously compared with non-invasive blood pressure values. Results It was feasible to invasively monitor the blood pressure of patients with severe burn on limb. In general, the blood pressure values measured invasively were higher 5-20 mmHg than those non-invasively, but those changes were synchronistically. There was good correlation between them. Conclusion Invasive blood pressure monitoring may be extensively used in clinical practise because it can show the development change of artery pulse wave form and blood pressure numerical value. The sensitivity is higher than that of non-invasive blood pressure.
出处
《实用诊断与治疗杂志》
2005年第4期261-262,264,共3页
Journal of Practical Diagnosis and Therapy
关键词
严重烧伤
有创血压
监测
Severe burn
invasive blood pressure
monitoring
