O监测指导感染性休克液体复苏的效果比较 [摘要] 目的探讨分析感染性休克患者采用重症超声与脉波指示剂连续心排血量法(O)对比监测指导液体复苏的效果。方法选择2016年1~10月因严重脓毒症/感染性休克进入我院重症医?W科且有液体复苏指征的患者40例作为研究对象,随机分为两组:O,试验组采用重症超声。对比两组监测指导液体复苏的效果。结果两组患者的一般血流动力学参数差异无统计学意义(P>),两组患者复苏6 h后SBP、DBP、MAP、CVP均要比0 h明显改善(),对照组复苏6 h、12 h、24 h液体正平衡多于试验组,差异有统计学意义(),两组在血管活性药物用量、28 d病死率方面差异无统计学意义(P>),对照组需CRRT人数12例(%),明显高于试验组的3例(%),差异有统计学意义(P [关键词] 重症超声;O;感染性休克;液体复苏 [中图分类号] [文献标识码] A [文章编号] 1673-9701(2017)17-0004-04 [Abstract] Objective To investigate the effect of critical ultrasound and pulse wave indicator continuous cardiac output (O) in monitoring and guiding fluid resuscitation of patients with septic shock. Methods A total of 40 patients with severe sepsis/septic shock who had the signs of liquid resuscitation in the Department of Intensive Medicine of our hospital from January to October 2016 were chosen as the study objects. The patients were randomly divided into two groups. The control group was treated with O, and the experimental group was given critical ultrasound. The effect of monitoring and guiding liquid resuscitation between the two groups pared. Results There was no statistically significant difference in general hemodynamic parameters between the two groups(P>). The SBP, DBP, MAP and CVP of the two groups were significantly improved after 6 h pared with those at 0 h(). The positive balance of the liquid