摘要
目的:探讨急性呼吸窘迫综合症(ARDS)病人在机械通气时液体管理的新方法与效果。方法:将38例ARDS患者随机分成中心静脉压(CVP)组和胸腔液体水平(TFC)组,分别根据监测得到的CVP或TFC数据增加补液或利尿,使CVP或TFC维持在设定的范围,对两组患者氧合指数、心率、血压、血乳酸、尿量进行对比分析。结果:两组开始时指标相近,严格液体管理24小时后TFC组比CVP组的氧合指数明显升高、心率减慢、平均血压升高、血乳酸下降、尿量明显增加;具有显著性差异。结论:ARDS患者机械通气时应用TFC进行液体管理比CVP更加准确、有效。
Objectives ： To explore the new method and effect of the liquid management in the acute respiratory distress syndrome （ARIT）S） patients receiving mechanical ventilation. Methods： 38 ARDS patients receiving mechanical ventilation were randomized into 2 groups： central vein pressure （CVP） group and thoracic fluid content （TFC） group.To apply fluid or diuretic therapies according to monitoring of CVP or TFC to maintain a setted range and compare the oxygenation index , heart rate, bloacl pressure, bloacl lactic acidosis level and urine volume in the two groups Results： After 24 hours＇ treatment, the oxygenation index, bloacl pressure, urine volume were significantly increased and heart rate, bloacl lactic acidosis level were significantly decreased between TFC group and CVP group.Conclusion： The use of TFC as a liquid management mathod was more accurate and effective than CVP in the ARDS patients receiving mechanical ventilation.
出处
《内蒙古中医药》
2007年第8期34-35,共2页
Inner Mongolia Journal of Traditional Chinese Medicine
关键词
呼吸窘迫综合症
机械通气
液体管理
胸腔液体水平
acuteresp iratory distress syndrome
mechanical ventilation
liquid manag^nent
thoracic fluid content
