Application of PICCO system monitoring in the treatment of severe thoracic trauma with the complication of ARDS
10.3969/J.ISSN.1672-8270.2017.06.028
- VernacularTitle:脉波指示剂连续心排量监测在重度胸外伤并发急性呼吸窘迫综合征治疗中的应用
- Author:
Haiping LIN
;
Zhengxiang WEI
- Keywords:
Pulse indicator continuous cardiac output(PICCO);
Pulmonary artery catheter;
Mechanical ventilation;
Curative effect;
Acute respiratory distress syndrome (ARDS)
- From:
China Medical Equipment
2017;14(6):103-106
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the application of pulse indicator continuous cardiac output (PICCO) system monitoring in the treatment of patients with severe thoracic trauma with the complication of acute respiratory distress syndrome (ARDS).Methods: 60 patients with severe thoracic trauma with complication of ARDS were randomly divided into the PICCO group (30cases) and the PAC group (30cases). The differences of PaO2/FiO2 score, acute physiology and chronic health evaluation Ⅱ (APACHE Ⅱ) score, mortality, mechanical ventilation time, ICU stay time and total treatment cost between the two groups were observed.Results: The PaO2/FiO2 of PICCO group in 1d, 3d and 7d were significantly higher than that of PAC group, respectively (t=4.46,t=3.87, t=5.15,P<0.05). In the 7th day, the APACHE II of PICCO group was significantly lower than that of PAC group (t=1.94,P<0.05). Besides, the mechanical ventilation time, ICU stay time and total treatment cost of PICCO group were significantly lower than these of PAC group, respectively (t=3.36, t=2.58,t=5.53,P<0.05). While there was no difference for mortality between the two groups (x2=0,P>0.05). Conclusion: In the treatment for patients with severe thoracic trauma with ARDS, PICCO system monitoring could reduce the mechanical ventilation time, ICU stay time and total treatment costs of patients, and enhance the treatment effect of patients.
