摘要
对于ICU中的危重患者,尤其是血流动力学不稳定的患者,都面临容量治疗是否恰当的问题,因为患者的容量不足或者容量过负荷都会产生严重的后果,这个问题解决的好坏关系到重症患者治疗的成败,因此,评估患者的容量状态极其重要。目前用于ICU中的监测指标大致分为两部分,即血流动力学监测和组织灌注及氧代谢指标。近年来,这两部分指标由于诸多容量监测理论、监测技术和监测仪器的进步,使得一些静态压力指标、动态压力指标、容量指标及其监测仪器以及一些提示微循环灌注的指标被分别用来监测容量复苏的效能。
For critically ill patients in ICU with hemodynamic instability, the problem of capacity treat- ment appropriateness always exists,because the patient＇s lack of capacity or volume overload will have serious consequences. This problem is the key to success of the treatment for critically ill patients, therefore, the assessment of the patient＇s volume status is extremely important. Monitoring indicators currently used in the ICU are probably divided into two parts ： hemodynamic monitoring/tissue perfusion and oxygen metabolism indicators. In recent years, due to the progress of the capacity monitoring theory, monitoring technology and tes- ting instruments, some static pressure indicators, dynamic pressure, volume indicators, monitoring instruments and some microcirculation perfusion indexes are used to monitor the effectiveness of volume resuscitation.
出处
《医学综述》
2014年第4期676-679,共4页
Medical Recapitulate
关键词
重症患者
容量治疗
监测指标
Critically ill patients
Capacity treatment
Monitoring indicators
