期刊文献+

大面积烧伤休克期心功能变化监测的研究 被引量:4

MONITORING THE CHANGE OF MYOCARDIAC FUNCTION IN 15 EXTENSIVE AND DEEP BURNS
下载PDF
导出
摘要 目的观察大面积烧伤休克期心功能监测对复苏的指导意义。方法对入院后置入Swan-Ganz漂浮导管的15例大面积烧伤病人,采用血流动力学监测仪,于入院时及伤后8、16、24、36、48 h连续监测患者的心排量(CO)、心排指数(CI)、每搏量(SV)、每搏指数(SI)、右房压(RAP)、肺动脉压(PAP)、中心静脉压(CVP)、心率(Hr)。结果休克期实施有创心功能监测是安全的,无一例发生并发症,15例病人均平衡渡过休克期。结论大面积烧伤休克期实施有创心功能监测对指导复苏具有重要意义。 Objective To determine the benifit of myocardiac function monitoring for resuscitation of burn shock. Methods 15 extensive and deep burned patients were included in this study. Swan-Ganz catheters were inserted to monitor the myocardiac function including CO, CI, SI, SV, RAP, PAP, CVP and Hr at 8, 16, 24, 36 and 48th hour after burning. Results It was reasonably safe to perform invasive monitoring during early resuscitation. 15 patients had no complications and they all passed the shock stage safely. Conclusion Invasive myocardiac function monitoring may be necessary to optimize resuscitation of extensive and deep burn patients with reasonable safety.
出处 《实用临床医药杂志》 CAS 2006年第6期56-58,共3页 Journal of Clinical Medicine in Practice
基金 江苏省科技厅社会发展项目(BS2001052)
关键词 烧伤 心功能 复苏 burn myocardiac function resuscitation
  • 相关文献

参考文献12

  • 1贺立新,郭振荣,柴家科,盛志勇,高维谊,林洪远,韩家林.52例严重烧伤休克期血流动力学变化监测[J].中华整形烧伤外科杂志,1999,15(2):117-119. 被引量:25
  • 2吴祖煌,刘敏,占新华,刘世康.1,6-二磷酸果糖保护严重烧伤病人心肌损害的临床研究[J].临床军医杂志,2004,32(2):38-40. 被引量:2
  • 3程月华 黄金华 叶航.严重烧伤后家鼠心肌功能变化的研究[J].扬州医学院学报,1994,6(4):306-306.
  • 4黄跃生,黎螯,杨宗城,陈发明,何宝斌,刘明政.严重烧伤病人心功能的变化及其原因探讨[J].第三军医大学学报,1990,12(4):269-274. 被引量:14
  • 5Horton J W,Garcia N M,White D J,et al.Postburn cardiac contractile function and biochemical markers of postburn cardiac injury[J].J Am Coll Surg,1995,181:289.
  • 6Huang Yuesheng,Yang Zongchen,Yan Baigang,et al.Pathogenesis of early cardiac myocyte damage after severe burns[J].J Trauma,1999,25:35.
  • 7Huang Yuesheng,Yang Zongchen,Li Ao,et al.Pathogenesis of early cardiac myocyte damage after severe burns[J].J Traurna,1999,46:428.
  • 8黄跃生,杨宗城,迟路湘,梁晚益,闫柏刚.烧伤后“休克心”的研究[J].中华烧伤杂志,2000,16(5):275-278. 被引量:97
  • 9Bortolani A,Governa M,Baurisoni D.Fluid replacement in burned patients[J].Acta Chir Plast,1996,38:132.c
  • 10Monafo M W·Initial management of burns[J].N EngI J Med,1996,335:1581.

二级参考文献16

共引文献163

同被引文献39

引证文献4

二级引证文献12

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部