Abstract：Objective To investigate the clinical effect of severe ultrasound combined with passive leg lifting test (PLR)to guide fluid resuscitation for shock.Methods From October 2016 to October 2018, 60 patients with shock in our hospital ICU were selected as the study objects.They were divided into the reference group and the experimental group according to random digital table method, 30 cases in each group.In the reference group, fluid resuscitation was managed by routine monitoring of hemodynamic indexes such as central venous pressure （CVP）, mean arterial pressure, heart rate and brain natriuretic peptide(BNP), urine volume, while in the experimental group, fluid resuscitation was managed by severe ultrasound combined with PLR.The mechanical ventilation time and ICU retention time were observed and compared between the two groups.The 6 h resuscitation rate, the incidence of pulmonary edema and the hospital mortality were compared between the two groups.Results The mechanical ventilation time and ICU retention time in the experimental group were significantly shorter than those in the reference group, and the difference was statistically significant (P<0.05).The rate of 6 h resuscitation in the experimental group was significantly higher than that in the reference group, and the incidence of pulmonary edema was lower than that in the reference group, and the differences were statistically significant (P<0.05).However, there was no significant difference in hospital mortality between the two groups (P＞0.05).Conclusion The application of severe ultrasound combined with PLR to direct shock fluid resuscitation can improve the effect of fluid resuscitation, reduce the incidence of pulmonary edema, shorten the mechanical ventilation time and ICU retention time, and help to improve the prognosis of the patients.
曾峰；李雄；罗伟雄；陈幼娟；张海；刘海生；陈苑. 重症超声联合被动抬腿试验指导休克患者液体复苏的效果[J]. 中国当代医药, 2019, 26(15): 75-77.
ZENG Feng； LI Xiong； LUO Wei-xiong； CHEN You-juan ；ZHANG Hai； LIU Hai-sheng ；CHEN Yuan. Effect of severe ultrasound combined with passive leg lifting test on fluid resuscitation in shock patients
. 中国当代医药, 2019, 26(15): 75-77.
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