床旁心脏超声联合Pcv-aCO2对于脓毒性休克容量反应性的预测价值
本文探讨床旁心脏超声联合中心静脉-动脉血二氧化碳分压差(Pcv-aCO2)对于脓毒性休克容量反应性的预测价值.选取110例脓毒性休克患者为研究对象,根据补液前后心脏指数变化值(ΔCI)分为容量有反应组(n=66)和无反应组(n=44).容量有反应患者补液后Pcv-aCO2、呼吸变异指数(RVI)低于容量无反应患者(P＜0.05),而下腔静脉直径(IVCD)高于容量无反应患者(P＜0.05).补液后 Pcv-aCO2、RVI 与ΔCI呈负相关(r=-0.432、-0.411,P＜0.05).Pcv-aCO2、RVI及二者联合预测容量反应性的ROC曲线下面积(AUC)分别为0.772、0.709和...
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| Published in | 影像科学与光化学 Vol. 40; no. 6; pp. 1476 - 1480 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | Chinese |
| Published |
阜阳市第五人民医院重症医学科,安徽阜阳236000%安徽医科大学第一附属医院重症医学科,安徽合肥230000
23.11.2022
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1674-0475 |
| DOI | 10.7517/issn.1674-0475.220818 |
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| Abstract | 本文探讨床旁心脏超声联合中心静脉-动脉血二氧化碳分压差(Pcv-aCO2)对于脓毒性休克容量反应性的预测价值.选取110例脓毒性休克患者为研究对象,根据补液前后心脏指数变化值(ΔCI)分为容量有反应组(n=66)和无反应组(n=44).容量有反应患者补液后Pcv-aCO2、呼吸变异指数(RVI)低于容量无反应患者(P＜0.05),而下腔静脉直径(IVCD)高于容量无反应患者(P＜0.05).补液后 Pcv-aCO2、RVI 与ΔCI呈负相关(r=-0.432、-0.411,P＜0.05).Pcv-aCO2、RVI及二者联合预测容量反应性的ROC曲线下面积(AUC)分别为0.772、0.709和0.819(P＜0.05).床旁心脏超声联合Pcv-aCO2预测脓毒性休克容量反应性有较好的应用价值. |
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| AbstractList | 本文探讨床旁心脏超声联合中心静脉-动脉血二氧化碳分压差(Pcv-aCO2)对于脓毒性休克容量反应性的预测价值.选取110例脓毒性休克患者为研究对象,根据补液前后心脏指数变化值(ΔCI)分为容量有反应组(n=66)和无反应组(n=44).容量有反应患者补液后Pcv-aCO2、呼吸变异指数(RVI)低于容量无反应患者(P＜0.05),而下腔静脉直径(IVCD)高于容量无反应患者(P＜0.05).补液后 Pcv-aCO2、RVI 与ΔCI呈负相关(r=-0.432、-0.411,P＜0.05).Pcv-aCO2、RVI及二者联合预测容量反应性的ROC曲线下面积(AUC)分别为0.772、0.709和0.819(P＜0.05).床旁心脏超声联合Pcv-aCO2预测脓毒性休克容量反应性有较好的应用价值. |
| Author | 李彬彬 邵敏 单南冰 张怀伟 |
| AuthorAffiliation | 阜阳市第五人民医院重症医学科,安徽阜阳236000%安徽医科大学第一附属医院重症医学科,安徽合肥230000 |
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| Author_FL | LI Binbin SHAO Min ZHANG Huaiwei SHAN Nanbing |
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| Author_xml | – sequence: 1 fullname: 张怀伟 – sequence: 2 fullname: 邵敏 – sequence: 3 fullname: 单南冰 – sequence: 4 fullname: 李彬彬 |
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| Copyright | Copyright © Wanfang Data Co. Ltd. All Rights Reserved. |
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| DocumentTitle_FL | Value of Bedside Echocardiography Combined with Pcv-aCO2 in Predicting Volume Reactivity of Septic Shock |
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| Keywords | 容量反应性 脓毒性休克 床旁心脏超声 中心静脉-动脉血二氧化碳分压差 预测价值 |
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| Title | 床旁心脏超声联合Pcv-aCO2对于脓毒性休克容量反应性的预测价值 |
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