摘要
目的探讨有创动脉血压监测在多器官功能障碍患者中的临床应用价值。方法选择2007年1月-2012年2月90例多器官功能障碍患者,采用动脉留置针对多器官功能障碍患者的外周动脉进行穿刺,将留置针导管通过压力传感器测压管道与压力监测仪相连,监测动脉压力和波形,将数据与患者的同肢体无创动脉血压监测数据相对比,观察两组在血压数据的差异性。结果有创动脉血压值比无创动脉血压值高5～20 mm Hg(1 mm Hg=0.133 kPa),与无创动脉血压的变化同步,而且可实时连续监测血压。结论有创动脉血压监测较无创动脉血压监测可以准确、实时、连续监测血压,有创动脉血压监测使医生正确、及时地评估病人的病情和治疗反应,及时指导和调整治疗计划,提高患者抢救成功率和降低死亡率,值得推广应用。
Objective To explore the clinical value of invasive blood pressure monitoring in patients with multiple organ dys- function syndrome（MODS）. Methods From Jan. 2007 to Feb. 2012,90 patients with MODS were enrolled in this study, whose peripheral artery was punctured to measure the invasive blood pressure continuously. The invasive blood pressure values were re- corded and simultaneously compared with non-invasive blood pressure values. Results The invasive blood pressure monitoring monitored the pressure of patients continuously and timely ,the invasive blood pressure values were 5 -20 mm Hg higher than the non-invasive blood pressure values, but their change were synchronistical. Conclusion Invasive blood pressure monitoring can guide the clinical diagnosis and therapy in the MODS patients because it can continuously and timely show the blood pressure and the artery pulse wave form.
出处
《中华全科医学》
2013年第1期52-53,共2页
Chinese Journal of General Practice
关键词
有创动脉血压监测
多器官功能障碍
Invasive arterial blood pressure monitoring
Muhiple organ dysfunction syndrome
