Monitoring on extravascular lung water in patients with septic shock and its prognostic value
10.3760/cma.j.issn.1673-4904.2011.16.004
- VernacularTitle:脓毒症休克患者血管外肺水的监测及其对预后的预测价值
- Author:
Yusheng CHEN
;
Yonghong FU
;
Donglin XV
;
Jiyun LIU
;
Zhi YANG
- Publication Type:Journal Article
- Keywords:
Prognosis;
Shock,septic;
Extravascular lung water
- From:
Chinese Journal of Postgraduates of Medicine
2011;34(16):9-12
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the alterative characteristics of the extravascular lung water (EVLW ) in the patients with septic shock and clarify its value on the prognosis of these patients.Methods By the methods of retrospective analysis,according to the ultimate survival,21 patients with septic shock were divided into survivor group (10 cases) and non-survivor group (11 cases).The clinical features of the patients were observed and hemodynamic monitoring was made with PiCCO monitor.The EVLW was measured and the relationship between the EVLW and the prognosis of patients was analyzed.Results On the first,second and third day,EVLW was (12.7 ±1.8),(11.3 ±1.3),(10.1 ±1.3) ml/kg in survivor group,and (14.4 ± 1.0),(14.6 ± 1.4),(14.6 ±1.3) ml/kg in non-survivor group respectively,and there were statistical differences between two groups (P <0.05).However,on the second day after the intensive therapy,EVLW in survivor group dropped significantly(P＜0.05),but the non-survivor group only declined slightly,and compared with the result of the first day,there was no obvious difference (P >0.05).Conclusions The EVLW in the patients with septic shock increases significantly.The dynamic changes of the EVLW may be one of the factors for predicting the prognosis of patients with septic shock.
