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我院急诊科重症监护病房(ICU)自1991年7月启用以来,对9例危重病人进行了有创性血流动力学监 测,对指导临床诊断、用药、估计疾病预后、提高危重症抢救成功率具有重要的临床意义。 临床资料 一、9例均为ICU监护病者,男6例,女3例;除1例为23岁的散发性脑炎患者外,其余8例均为56～78岁的心或脑血管病患者。 二、本组所用的是7.5FSwan-Ganz漂浮导管,西门子公司生产的SIEMENS730型或960型床边心电监护仪测定血流动力学各项参数。采取左锁骨下静脉穿刺术,通过压力监测判定导管位置。压力单位为kPa,心排出量(CO)单位为L/min。 三、本组置管监测成功8例,失败1例,为误穿入颈总静脉上段。9例中治愈4例,好转1例,死亡4例。
In our hospital emergency department intensive care unit (ICU) since its inception in July 1991, 9 cases of critically ill patients with invasive hemodynamic monitoring, to guide the clinical diagnosis, medication, prognosis of the disease, improve the success of critical illness rescue Rate has important clinical significance. Clinical data A, 9 cases were ICU custody patients, 6 males and 3 females; except for 1 case of 23-year-old patients with sporadic encephalitis, the remaining 8 cases were 56 to 78 years of heart or cerebrovascular disease patient. Second, this group is used 7.5FSwan-Ganz floating catheter, SIEMENS730 produced by Siemens or 960 bedside ECG monitor hemodynamics parameters. To take the left subclavian vein puncture, catheter pressure monitoring to determine the location. Pressure unit kPa, cardiac output (CO) unit L / min. Third, the group of successful monitoring of catheterization in 8 cases, 1 case of failure, accidentally penetrated the upper neck of the common carotid artery. In 9 cases, 4 cases were cured, 1 case improved, and 4 cases died.