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Relationship between changes in hemodynamics and arterial waveforms in septic patients

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Author:
No author available
Journal Title:
CHINESE CRITICAL CARE MEDICINE
Issue:
8
DOI:
10.3760/j.issn:1003-0603.2002.08.003
Key Word:
脓毒症;血流动力学;动脉压;监测

Abstract: 目的:探讨脓毒症患者血流动力学数值与动脉压力波形变化的特征,以指导临床监护.方法:对37例脓毒症患者采用Swan-Ganz导管同时进行血流动力学及动脉压的连续监测与观察.结果:疾病早期血流动力学数值尚属正常时,有91.9%的患者出现动脉压力波形中降中峡提前出现于收缩期;在患者处于脓毒症期时波形为"高排低阻"型,当患者处于垂危阶段时波形为"低排高阻"型.而且脓毒症患者血流动力学各数值的变化在其动脉压波形上也会出现相应的改变.结论:血流动力学与动脉压力波形的变化对预测脓毒症的发生和发展过程有指导意义.

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