摘要
由于感染性休克患者外周循环出现障碍,且组织灌注不足,早期进行液体复苏可增加患者的心输出量和心脏前负荷,改善机体组织灌注,增加机体氧供。监测血流动力学有助于了解感染性休克患者的外周血管阻力、评估容量状态和容量反应性、指导液体复苏及预测预后。脉搏指示连续性心排量监测仪是一项综合经肺温度热稀释与动脉脉搏轮廓分析的新技术,该监测技术具有微创性、操作简单及数据可靠等优势,其能够准确、可靠的反映出感染性休克患者的容量状态,从而实施有效的液体管理,以改善感染性休克患者的氧合和缩短患者机械通气时间,并降低患者的病死率。
Due to obstacles in peripheral circulation and insufficient tissue perfusion in patients with septic shock,early fluid resuscitation can increase the patient’s cardiac output and cardiac preload,improve the body’s tissue perfusion and increase the body’s oxygen supply.Monitoring hemodynamics helps to understand peripheral vascular resistance in patients with septic shock,assess volume status and volume responsiveness,guide fluid resuscitation,and predict prognosis.Pulse indication continuous cardiac output monitor is a new technology that integrates thermodilution of lung temperature and analysis of arterial pulse contour.The monitoring technology has the advantages of minimally invasive,simple operation and reliable data,which can accurately and reliably reflect the volume status of patients with septic shock,so as to implement effective fluid management to improve oxygenation and shorten the oxygenation of patients with septic shock.The patient's mechanical ventilation time,and reduce the patient's fatality rate.
作者
任思思
REN Si-si(Tianjin Beichen Hospital,Tianjin 300400)
出处
《中国医疗器械信息》
2021年第6期15-16,89,共3页
China Medical Device Information
关键词
脉搏指示连续性心排量监测仪
感染性休克
液体复苏
pulse indication continuous cardiac output monitor
septic shock
fluid resuscitation
