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目的:探讨PICCO监测在失血性休克合并肺水肿患者治疗中的应用价值。方法:选取我院失血性休克合并肺水肿患者共36例,随机分为观察组和对照组。给予对照组常规中心静脉压监测,给予观察组PICCO监测。观察机械通气时间、乳酸值、MAP、PaO_2/FiO_2及APACHEⅡ评分。结果:观察组机械通气时间为(7.8±1.5)d、乳酸为(1.4±0.5)mmol/L、MAP为(79.9±5.2)mmHg、PaO_2/FiO_2为(258.3±22.7)及APACHEⅡ评分为(20.8±4.1)分,均优于对照组,组间比较有差异(P<0.05)。结论:PICCO监测用于失血性休克合并肺水肿患者中,能够改善患者的肺功能,减轻患者承受的痛苦,具有较高的价值。
Objective: To investigate the value of PICCO in the treatment of patients with hemorrhagic shock complicated with pulmonary edema. Methods: A total of 36 patients with hemorrhagic shock combined with pulmonary edema in our hospital were randomly divided into observation group and control group. The control group was given conventional central venous pressure monitoring and the observation group PICCO monitoring. Mechanical ventilation time, lactic acid value, MAP, PaO 2 / FiO 2 and APACHE Ⅱ scores were observed. Results: The duration of mechanical ventilation in the observation group was (7.8 ± 1.5) d, (1.4 ± 0.5) mmol / L for lactic acid, (79.9 ± 5.2) mmHg for MAP, (258.3 ± 22.7) for PaO_2 / FiO_2 and ± 4.1) points were better than the control group, there were differences between the groups (P <0.05). CONCLUSIONS: PICCO monitoring is of great value in patients with hemorrhagic shock complicated with pulmonary edema, which can improve the patient’s lung function and relieve the patient’s suffering.