血流动力学及氧代谢监测对感染性休克早期预后判断的价值

目的 :评估感染性休克病人早期血流动力学及氧代谢参数对判断预后的价值。方法 :监测感染性休克患者早期血流动力学及氧代谢 ,参照正常值范围 ,将所有病例分为升高、降低和正常组 ,比较各组病例确诊后 2 8天内的病死率。结果 :2 8例中 15例 ( 5 3 .5 7% )死亡。CI升高、SVRI降低、O2 ER升高及降低病死率。结论 :CI、SVRI、O2 ER是感染性休克早期判断预后的重要指标。

Prognostic Value of Hemodynamic and Oxygen Metabolic variables in Early Stage of Septic Shock

Objective:To evaluate the prognostic value of hemodynamic and oxygen metabolic variables in early stage of septic shock.Methods:28 patients enrolled in the study were divided into high,low or normal groups according to hemodynamic and oxygen metabolic variables. 28-day mortality rates of all groups were compared.Results:15 of the 28 patients died (mortality rate 53.57%). High CI group,low SVRI group and high or low O 2ER group show increased mortality rate.Conclusions:Some hemodynamic and oxygen metabolic variables such as CI SVRI and O 2ER are valuable in predicting survival in early stage of septic shock.