Objective:Critical ultrasonography and PiCCO on the resuscitation of patients with septic shock.Methods:62 patients with septic shock department of ourhospital's ICU,were divided into two groups,compared the patient's indicators.Results:After treatment,the control group and the observation group were significantly improved (P ＜ 0.05),Compared with the control group,the APACHE Ⅱ score of the observation group was significantly lower than that of the control group,the oxygenation index was significantly higher than that of the control group (P ＜ 0.05),The rate of resuscitation fluid,lactic acid clearance rate,ICU time,mechanical ventilation time,incidence of pulmonary edema,and 7 days after treatment were less than those in the control group (P ＜ 0.05).Conclusion:Critical ultrasound monitoring is effective in guiding fluid resuscitation in patients with septic shock,and worthy of clinical application.%目的:重症超声与连续心排血量监测(PiCCO)监测指导感染性休克患者液体复苏的应用效果.方法:我院ICU收治的62例感染性休克患者,随机分为2组,比较两者患者的各项指标.结果:治疗后,对照组和观察组的各项检测指标均改善明显(P＜0.05),观察组的急性生理学与慢性健康状况评分系统Ⅱ(APACHEⅡ)Ⅱ评分与对照组比较,显著低于对照组,氧合指数与对照组比较,显著高于对照组(P＜0.05).观察组的复苏液体量、乳酸清除率、入住ICU时间、机械通气时间、肺水肿发生率、治疗后7d死亡率均少于对照组(P＜0.05).结论:重症超声监测指导感染性休克患者液体复苏的应用效果显著.
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