| 容量状态对革兰氏阴性杆菌感染性休克患者血液动力学类型及氧代谢的影响 |
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| 引用本文： | 杨毅,邱海波,周韶霞,陈德昌. 容量状态对革兰氏阴性杆菌感染性休克患者血液动力学类型及氧代谢的影响[J]. 中国急救医学, 2001, 21(2): 79-81 |
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| 作者姓名： | 杨毅 邱海波 周韶霞 陈德昌 |
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| 作者单位： | 1. 南京铁道医学院附属医院ICU，南京 210009
2. 中国医学科学院中国协和医科大学北京协和医院ICU |
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| 摘 要： | 目的 探讨容量状态对感染性休克患者血液动力学状态及氧化谢的影响。方法 监测10例感染性休克患者不同容量状态下血液动力学及氧化谢的变化。结果 低血容量时，肺动脉嵌压(PAWP)0.8±0.3kPa，心脏指数(CI)2.0±0.4L
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| 关 键 词： | 休克 感染性 血液动力学 氧代谢 |
| 文章编号： | 1002-1949(2001)02-0079-03 |
| 修稿时间： | 2000-05-08 |
Effect of preload onhemodynamic and oxygen metabolism in septic shock patients |
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| YANG Yi,QIU Hai-bo,ZHOU Shou-xia,et al.. Effect of preload onhemodynamic and oxygen metabolism in septic shock patients[J]. Chinese Journal of Critical Care Medicine, 2001, 21(2): 79-81 |
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| Authors: | YANG Yi QIU Hai-bo ZHOU Shou-xia et al. |
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| Affiliation: | YANG Yi,QIU Hai-bo,ZHOU Shou-xia,et al.Department of Critical Care Medicine and Emergency,Nanjing Railway Medical College Hospital,Nanjing 210009,China [ |
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| Abstract: | Objective To observe the effect of preload on hemodynamic andoxygen metabolism in patients with septic shock.Methods 10 patients with septic shock induced by gram negative bacteria were admitted to this study group,parameters of hemodynamic and oxygen metabolism in defferent preload were measured.Results By fluid resuscitation,as the pulmonary artery wedge pressure increased from 0.8±0.3 to 1.6±0.4 kPa,cardiac index rose from 2.0±0.4 to 3.9±0.9 L.min-1.m-2,but systemic vascular resistance index decreased from 3 291.9±810.6 to 1 362.2±382.9 dyn.s.cm-5.m2 significantly (P＜0.05).Meanwhile,oxygen delivery index rose from 284.3±77.0 to 558.5±131.1 ml.min-1.m-2,and oxygen consumption index also increased from 99.7±52.3 to 140.7±45.0 ml.min-1.m-2 remarkably(P＜0.05).Conclusion Hemodynamic classification was decided by cardiac preload,fluid resuscitation is very important in septic shock therapy. |
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| Keywords: | Shock septic Hemodynamic Oxygen metabolism |
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