PICCO在重型颅脑损伤并神经源性肺水肿患者抢救中的应用

摘要

目的：观察探讨PICCO(脉搏轮廓温度稀释连续心排量)对重型颅脑损伤并神经源性肺水肿的疗效影响.方法：32例重型颅脑损伤并神经源性肺水肿患者随机分为对照组和治疗组各16例，对照组给予神经科常规治疗，治疗组在常规组治疗基础上应用PICCO监测血流动力学指标进行液体管理，比较两组治疗效果.结果：治疗组治疗1周后GCS评分高于对照组，撤机时间早于对照组，两组比较，差异有统计学意义(P<0.05).治疗组死亡率低于对照组，而恢复良好率显著高于对照组(P<0.05).结论：PICCO能提高重型颅脑损伤并神经源性肺水肿患者抢救成功率.%Objective:To evaluate the clinical significance of PICCO in patients with neurogenic pulmonary edema after severe brain injury. Method:32 cases with neurogenic pulmonary edema after severe brain injury were randomly divided into treatment group and control group. All the patients were treated by routine methods. In control group,fluid management was depended on center venous pressure(CVP),and PICCO was used in the treatment group. Result:The GCS score of treatment group was higher than that of the control group after 1 week,and weaning time was earlier than that of the control group(P<0.05). The death rate of the treatment group was lower than that of the control group,and good recovery rate was higher than that of the control group. Conclusion:PICCO in fluid management for severe brain injury can decrease the death rate and improve prognosis.