PiCCO监测在严重烧伤患者早期治疗的应用进展

啸 虎(宁夏医科大学临床医学院，中国)
军利 周(甘肃省人民医院烧伤科，中国)

摘要

近年来脉搏轮廓心排血量（PiCCO）监测技术在早期指导严重烧伤患者救治中应用越来越多，并且取得了良好的临床效果，目前已作为治疗严重烧伤患者的一种常规检测方式。论文针对该技术在治疗早期严重烧伤患者近年来的发展进行综述，旨在为临床医生治疗烧伤患者提供参考。

关键词

脉搏轮廓心排血量监测；烧伤；休克；全身血管阻力指数

参考

Wiener RS, Welch HG. Trends in the use of the pulmonary artery catheter in the United States(1993-2004)[J].JAMA,2007(04):423-429.

Holm C, Mayr M, Hörbrand F, Tegeler J, Henckel von Donnersmarck G, Mühlbauer W, et al. Reproducibility of transpulmonary thermodilution measurements in patients with burn shock and hypothermia[J]. Burn Care Rehabil,2005(26):260-265.

Zhang, Z., Xiao, X., Min, Y., et al. Use of the PiCCO System in Critically Ill Patients with Septic Shock and Acute Respiratory Distress Syndrome: A Study Potocol for a Randomized Controlled Trial[J].Trials,2013(14):1-8.

He Q, Feng Z, Wang JH, Tang PX, Chang ZG, Liu YL, et al. Influence of the venous catheter site on data of pulse indicator continuous cardiac output monitoring[J]. Zhongguo Wei Zhong Bing Ji Jiu Yi Xue,2009(21):601-603.

Michard F. Looking at transpulmonary thermodilution curves: The cross-talk phenomenon[J].Chest,2004(126):656-657.

Wurzer P, Branski LK, Jeschke MG, Ali A, Kinsky MP, Bohanon FJ, Hundeshagen G, Norbury WB, Williams FN, Kamolz LP, Finnerty CC, Herndon DN. Transpulmonary Thermodilution Versus Transthoracic Echocardiography for Cardiac Output Measurements in Severely Burned Children[J].Shock,2016(03):249-253.

徐文举.PICCO监测技术指导危重烧伤休克期限制性补液的应用效果[J].河南大学学报（医学版）,2019(03):181-184.

邓岩岩.脉搏指示连续心排血量监测在危重烧伤患者中的应用效果分析[J].中国烧伤创疡杂志,2020(04):258-261.

王德运,谢卫国,席毛毛,等.脉搏轮廓心排血量监测技术在大面积烧伤患者早期治疗中的应用效果[J].中华烧伤杂志,2018(01):14-20.

Holm C,Melcer B,Hbrbrand F,et a1.Haemodynamic and oxygen transport responses in survivors and nonsurvivors following thermal injury[J].Burns,2000(01):25-33.

Kym D, Cho YS, Yoon J, Yim H, Yang HT. Evaluation of diagnostic biomarkers for acute kidney injury in major burn patients[J]. Ann Surg Treat Res,2015 (05):281-8.

毛自若,周保纯,徐信发,等.早期血乳酸水平预测特重度烧伤患者急性肾损伤加重的价值[J].中华创伤杂志,2019(06):556-561.

解金洪,姜卫东,钱小雷,等.PiCCO监测在肺水肿患者救治中的应用[J].现代仪器与医疗,2018(06):99-100+103.

张灯亮,何先弟,刘杰,等.PiCCO监测下的目标导向集束化治疗脓毒性休克的疗效及相关血流动力学指标对预后的诊断价值[J].中国急救医学,2020(06):536-541.

Herner A, Heilmaier M, Mayr U, Schmid RM, Huber W. Comparison of cardiac function index derived from femoral and jugular indicator injection for transpulmonary thermodilution with the PiCCO-device:A prospective observational study[J]. PLoS One,2018(07):e0200740.

李磊,盛嘉隽,王光毅,等.血管外肺水指数与肺血管通透性指数及胸腔内血容量指数对烧伤后肺水肿鉴别诊断的意义[J].中华烧伤杂志,2015(03):186-191.

张翔,赵新春.早期呼吸机治疗对急性呼吸窘迫综合征患者肺循环功能及炎症反应的影响[J].实用临床医药杂志,2020(14):67-70+89.

甘宇,陈慧英,陈俊峰,等.超声检测感染性休克患者下腔静脉塌陷指数与PICCO数据的相关性分析[J].国际医药卫生导报,2020(13):1870-1873.

卞晓华,夏为,耿云倩,等.床旁超声在胸外伤患者液体管理中的应用[J].解放军医药杂志,2020(09):72-76.

王志勇,冯世海,范宝莉,等.导向性限制性液体管理策略对严重烧伤合并重度吸入性损伤患者的影响[J].中华烧伤杂志,2019(07):501-506.

Richard C, Monnet X, Teboul JL. Pulmonary artery catheter monitoring in 2011[J].Curr Opin Crit Care,2011(17):296-302.

中国老年医学学会烧创伤分会.脉搏轮廓心排血量监测技术在严重烧伤治疗中应用的全国专家共识(2018版)[J].中华烧伤杂志,2018(11):776-781.

Li Y, Zhang L, Liu J, et al. Effects of pulse contour cardiac output monitoring technology in amelioration of myocardial damage in fluid resuscitation of patients with large area burn in the early stage[J]. Chin J Burns,2019(08):574-579.

DOI: http://dx.doi.org/10.26549/yzlcyxzz.v3i6.5853