摘要
目的探讨床旁超声监测下腔静脉内径在指导脓毒性休克患者早期液体复苏治疗中的应用价值。方法 2016年3月至2018年2月随机选取本院重症医学科收治的脓毒性休克患者59例作为研究对象,全部患者均接受早期液体复苏治疗,治疗过程中行床旁超声监测,对下腔静脉内径进行监测,并评估患者下腔静脉呼吸变异指数(RVI),测量左心室舒张末期容积(LVEDV)。结果复苏后患者下腔静脉最大内径(IVCmax)、下腔静脉最小内径(IVCmin)、左心室舒张末期容积(LVEDV)均高于复苏前,而下腔静脉呼吸变异指数低于复苏前,前后对比差异具有统计学意义(P<0.05)。结论在脓毒性休克患者早期液体复苏治疗中,通过床旁超声监测下降静脉内径可准确评估患者血容量,为具体治疗提供有效依据,促进患者病情好转,推荐推广。
Objective To explore the value of bedside ultrasound monitoring of inferior vena cava diameter in guiding early fluid resuscitation in patients with septic shock. Methods From March 2016 to February 2018, 59 cases of septic shock treated in our hospital were randomly selected as the subjects. All patients received early fluid resuscitation. The treatment process was monitored by bedside ultrasound, the internal diameter of the inferior vena cava was monitored, and the patient's inferior vena cava respiratory variation index (RVI) was evaluated. The left ventricular end diastolic volume (LVEDV) was measured. Results The maximum diameter of the inferior vena cava (IVCmax), the minimal internal diameter of the inferior vena cava (IVCmin) and the left Shi Shuzhang end volume (LVEDV) after resuscitation were all higher than those before the resuscitation, while the respiratory variation index of the inferior vena cava was lower than that before the resuscitation, and the difference was statistically significant( P<0.05). Conclusion In the treatment of early fluid resuscitation in patients with septic shock, the blood volume can be accurately assessed by bedside ultrasound monitoring, which provides effective basis for specific treatment, and promotes the improvement of the patient's condition and recommends promotion.
作者
柳颖
Liu Ying(Department of critical care medicine, Dalian Friendship Hospital, Dalian, Liaoning, 116001, China)
出处
《当代医学》
2019年第7期23-25,共3页
Contemporary Medicine
关键词
脓毒性休克
早期液体复苏治疗
床旁超声监测
下腔静脉内径
Septic shock
Early fluid resuscitation
Bedside ultrasound monitoring
Inferior vena cava diameter
