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目的:临床上因各种原因(如穿刺位置烧伤、感染、颈静脉和锁骨下静脉血栓形成)在行经肺热稀释检测时只能通过股静脉注射指示剂,用Pi CCO~®设备时会使检测结果产生偏差,而用EV1000/Volume View~®是否同样会产生偏差目前尚不清楚。本研究的主要目的是观察股静脉注射指示剂对EV1000/Volume View~®检测数据的影响。方法:通过EV1000/Volume View~®设备对一例低容量休克患者(87岁,女性)进行经肺热稀释检测,分别通过颈内静脉和股静脉注射冰盐水指示剂,对所测得的两组数据进行对比,分析股静脉注射指示剂对全心舒张末容积指数(GEDVI)、血管外肺水指数(ELWI)、心指数(CI)、肺血管通透性指数(PVPI)和全心射血分数(GEF)等参数的影响。结论:经股静脉注射指示剂同样会影响EV1000/Volume View~®设备所检测的热稀释数据,尤其会高估GEDVI和CI值,而PVPI和GEF也会受到影响,用适合Pi CCO~®的校正公式校正数据后则可以明显减少偏差。
PURPOSE: Clinically due to various causes (eg burns, infections, jugular and subclavian thrombosis at the site of the puncture) can only be injected through the femoral vein when tested by pulmonary thermodilution and with Pi CCO® ® The test result is biased, and it is not clear whether the same deviation will occur with the EV1000 / Volume View ~ ®. The main purpose of this study was to observe the effect of femoral vein injection indicator on EV1000 / Volume View ~ ® test data. METHODS: One patient with low-volume shock (87 years of age, female) undergoing pulmonary thermodilution was detected by the EV1000 / Volume View ~ ® device. The ice-saline indicator was injected through the jugular vein and the femoral vein, Data were compared to analyze the effects of femoral vein injection indicators on the end-systolic volume index (GEDVI), extravascular lung water index (ELWI), cardiac index (CI), pulmonary vascular permeability index (PVPI) Score (GEF) and other parameters. CONCLUSIONS: Intravenous injection of the indicator also affects the thermal dilution data detected by the EV1000 / Volume View ~ device, in particular overestimates the GEDVI and CI values, while PVPI and GEF are also affected, with PiCCO ~ Correction formula correction data can significantly reduce the deviation.