摘要
高渗高血糖综合征是常见的急危重症,既往临床治疗中凭借经验补液、扩容纠正患者失水状态,因缺乏严谨性及精准性,从而导致各种相关并发症的发生。本文收集12例高渗高血糖综合征患者,通过行中心静脉穿刺,每小时监测中心静脉压指导液体复苏,最大程度避免复苏过程中出现急性肺水肿、脑水肿、低氧血症。
Hyperosmolar hyperglycemic syndrome is a common critical condition.In the previous clinical treatment,the patient's dehydration state was corrected by means of empirical fluid replacement and capacity expansion,which led to the occurrence of various related complications due to insufficient rigorousness and precision.In this paper,12 patients with hyperosmolar hyperglycemic syndrome were collected and subject to central venipuncture and hourly monitoring of central venous pressure to guide fluid resuscitation,which avoid acute pulmonary edema,cerebral edema,and hypoxemia during resuscitation to a maximal extent.
作者
许传洁
曹雪
郑凯文
邓建波
Xu Chuan-jie;Cao Xue;Zheng Kai-wen;Deng Jian-bo(Department of Neurocritical care Medicine,Third Affiliated Hospital of Zunyi Medical University(First People's Hospital of Zunyi),Zunyi 563000,Guizhou Province,China)
出处
《中外医药研究》
2022年第1期33-35,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
高渗高血糖综合征
中心静脉压监测
肺水肿
液体复苏
Hyperosmolar hyperglycemic syndrome
Central venous pressure monitoring
Pulmonary edema
Fluid resuscitation
