缁忚偤鐑█閲婃妧鏈湪寰幆鍔熻兘鐩戞祴涓殑搴旂敤
缁忚偤鐑█閲婃妧鏈?/p>
锛?/p>
The Transpulmonary thermodilution Technique
锛?/p>
涓烘柊杩戝簲鐢ㄤ簬涓村簥鐨勪竴
椤瑰惊鐜姛鑳界洃娴嬫妧鏈紝
閫氳繃涓�涓腑蹇冮潤鑴夊绠″拰涓�涓甫鏈夌儹鏁忔帰澶寸殑鍔ㄨ剦瀵肩锛?/p>
鍙寔缁洃娴?/p>
CO
锛屽苟鍚屾椂鍙祴寰楀績鑴忓墠璐熻嵎锛堝閲忕姸鍐碉級鍜屾恫浣撴不鐤楀弽搴旂瓑銆傝繖椤规妧鏈幇鐢卞痉鍥?/p>
Pulsion
鍏徃鎺ㄥ嚭鐨?/p>
PiCCO
鐩戞姢绯荤粺涓婂緱浠ュ疄鐜般�傚簲鐢ㄦ椤规妧鏈紝鍙绠楄兏鍐呰瀹归噺
(ITBV)
鍜岃绠?/p>
澶栬偤姘?/p>
(EVLW)
锛?/p>
ITBV
宸茶璁稿瀛﹁�呰瘉鏄庢槸涓�椤瑰彲閲嶅銆?/p>
鏁忔劅銆?/p>
涓旀瘮鑲哄姩鑴夐樆濉炲帇
(PAOP)
銆?/p>
鍙冲績瀹よ垝寮犳湯鏈熷帇
(RVEDV)
銆佷腑蹇冮潤鑴夊帇
(CVP)
鏇磋兘鍑嗙‘鍙嶆槧蹇冭剰鍓嶈礋鑽风殑鎸囨爣銆傚彟澶栵紝缁?/p>
鑲虹儹绋�閲婃妧鏈笌鑲哄姩鑴夋紓娴绠℃瘮杈冿紝杩樻湁涓�涓紭鍔挎槸鍓嶈�呭彲鏈夋晥鍦板簲鐢ㄤ簬灏忓効
CO
鍊兼祴
瀹氥�?/p>
鍒╃敤
CO
娴嬪畾鏃剁殑鑴夋悘娉㈠舰浣滀负鍙傝�冿紝
PiCCO
鐩戞姢绯荤粺杩樺彲閫氳繃瀵规瘡涓�涓姩鑴夋尝褰笅闈?/p>
绉紙
pulse
contour
锛夌殑璁＄畻鍒嗘瀽锛屾祴寰楀嵆鏃剁殑
CO
鍊硷紝浠庤�屽緱浠ュ疄鐜?/p>
CO
鐨勬寔缁祴閲忋�傛湰鏂?/p>
灏嗙畝瑕佺患杩板叾浣跨敤鍘熺悊鍜屼复搴婂簲鐢ㄦ儏鍐点�?/p>
涓�銆佺洃娴嬮」鐩拰鍘熺悊
1
銆佺粡鑲哄績杈撳嚭閲忥紙
CO
锛?/p>
缁?/p>
鑲?/p>
鐑?/p>
绋�
閲?/p>
蹇?/p>
杈?/p>
鍑?/p>
閲?/p>
锛?/p>
CO
锛?/p>
鏄?/p>
璁?/p>
绠?/p>
鍚?/p>
绉?/p>
琛�
娑?/p>
瀹?/p>
绉?/p>
鐨?/p>
鍩?/p>
纭�
鍙?/p>
鏁?/p>
銆?/p>
CO
涓�
鑸?/p>
鏍?/p>
鎹?/p>
Stewart-Hamilton
鏂规硶娴嬮噺銆傝繘琛岀儹绋�閲婃祴閲忔椂锛屽敖鍙兘蹇殑閫熷害鍦ㄩ潤鑴夊唴娉ㄥ皠宸茬煡瀹圭Н鐨?/p>
鍐锋憾娑诧紙娓╁害鑷冲皯搴旀瘮琛�娑叉俯搴︿綆
10潞
C
锛?/p>
锛岃璁板綍鍒扮殑娓╁害闄嶄綆鍙樺寲鐢卞喎鎸囩ず鍓傛祦缁忕殑瀹圭Н
鍜屾祦閲忓喅瀹氥�傜儹绋�閲婃洸绾夸綔涓虹粨鏋滆缁樺埗鍑恒�?/p>
PiCCO
绯荤粺鍦ㄥ姩鑴夊唴锛堥�氬父鍦ㄨ偂鍔ㄨ剦鍐咃級妫�
娴嬪喎鎸囩ず鍓傦紝浠庤�屾祴寰?/p>
CO
銆?/p>
2
銆佸绉殑娴嬮噺鍘熺悊
濡傛灉蹇�熷皢涓�绉嶆寚绀哄墏娉ㄥ叆涓�涓祦浣撶郴缁燂紝鎸囩ず鍓傜█閲婃洸绾夸笅闈㈢Н浠ｈ〃鍗曚綅鏃堕棿鍐呮祦
缁忕郴缁熺殑娑蹭綋锛?/p>
鍗冲績杈撳嚭閲?/p>
(volume/time)
銆?/p>
娓╁害鎸囩ず鍓傚彲閫忚繃琛�绠″锛?/p>
浼氬彈鑲洪棿璐ㄦ恫浣撻噺
(
鍗?/p>
琛�绠″鑲烘按
)
鐨勫奖鍝嶃�傚綋鎸囩ず鍓備负娓╁害鎸囩ず鍓傛椂锛岃瀹归噺鍗充负鑳稿唴娓╁害瀹归噺
(ITTV)
锛屽畠鍖呮嫭
鑳歌厰鍐呰瀹归噺
(ITBV)
鍜岃绠″鑲烘按
(EVLW)
銆?/p>
ITBV
鍖呮嫭鍥涗釜鑵斿鑸掑紶鏈湡瀹归噺鐨勬�诲拰锛屽嵆鍏?/p>
蹇冭垝寮犳湯鏈熷閲?/p>
(GEDV)
锛屽拰鑲鸿瀹归噺
(PBV)
銆?/p>
PiCCO
娴嬪緱鐨勮兏鑵斿唴琛�瀹归噺
(ITBV)
鏄埄鐢?/p>
GEDV
浼扮畻鑰屾潵銆傚疄楠屽拰涓村簥鐮旂┒閮藉凡璇佹槑
GEDV
涓?/p>
ITBV
鐩稿叧鑹ソ銆傞�氳繃鍒╃敤鍥炲綊鍒嗘瀽锛屽凡寰楀埌鍒╃敤
GEDV
浼扮畻
ITBV
鐨勫洖褰掓柟绋嬨�?/p>
鍒╃敤浼扮畻鐨?/p>
ITBV
锛屼竴涓及绠楃殑
EVLW
鍙绠楀嚭鏉ャ�?/p>
EVLW=ITTV-ITBV
銆?/p>