Full-Text Search:
Home|Journal Papers|About CNKI|User Service|FAQ|Contact Us|中文
《Chongqing Medicine》 2017-23
Add to Favorite Get Latest Update

The application of PICCO in the pulmonary heart disease complicated with cardiac shock

Dong Qinghua;Tang Zhanhong;Qin Xuebin;Second Department of Stomatology,the Affiliated Hospital of Guilin Medical College;  
Objective To analyze the value of pulse sequential continuous cardiac output(PICCO)in chronic pulmonary heart disease with cardiogenic shock.Methods Sixty-eight patients with chronic pulmonary heart disease complicated with cardiogenic shock were randomly divided into study group(n=36)and control group(n=32).Both groups were treated with conventional therapy,while the control group underwent deep venous puncture to monitor the central venous pressure(CVP)changes.The study group underwent deep venous catheterization+femoral artery catheterization monitoring +PICCO monitoring.The therapeutic effect and the changes of PICCO index of the two groups were observed.Results The time of administration of vasoactive drugs,hospital stay and mechanical ventilation were significantly lower in the study group than in the control group(P0.05).There was no significant difference in mortality rate between the two groups(P0.05).After treatment,cardiac output quantity(CI)in study group increased significantly and extravascular lung water index EVLWI and PVPI decreased significantly,the difference between the two groups were statistical significance(P0.05),ITBVI had no statistical significant difference betweent two groups(P0.05).CI in the survival group was significantly higher than the death group,PVPI and EVLWI were significantly lower than the death group(P0.05),and the two groups had no significant difference in ITBVI(P0.05).Conclusion PICCO can reflect the hemodynamic status of patients with chronic pulmonary heart disease complicated with cardiac shock,and it has important clinical value for guiding the treatment and prognosis of patients.
【CateGory Index】: R541.5;R541.64
Download(CAJ format) Download(PDF format)
CAJViewer7.0 supports all the CNKI file formats; AdobeReader only supports the PDF format.
©2006 Tsinghua Tongfang Knowledge Network Technology Co., Ltd.(Beijing)(TTKN) All rights reserved