


标题: | 多巴胺及去甲肾上腺素对感染性休克患者血流动力学和组织氧代谢的影响 |
摘要: |
目的:探讨多巴胺(DA)及去甲肾上腺素(NE)在治疗感染性休克过程中对血流动力学和组织氧代谢的影响。 方法:选择我科腹部外科术后感染性休克患者46例,按随机原则分别给予DA(DA组)或NE(NE组)升压治疗。分别观察入组时、入组后1~6 h的血流动力学指标[心率(HR)、平均动脉压(MAP)、心排出量指数(CI)、每搏指数(SI)、体循环阻力指数(SVRI)]、混合静脉血氧饱和度(SvO2)、早期乳酸清除率、28 d死亡率;每小时尿量(UV)和12 h后肌酐清除率(Ccr)。 结果:①两组各时间点MAP、CI、SVRI比较差异均无统计学意义,DA组的HR明显高于NE组,而SI低于NE组(P |
英文摘要: | Objective:To evaluate the effects of dopamine (DA) and norepinephrine (NE) on hemodynamics and oxygen metabolism of tissue in patients with septic shock. Methods:Forty sixty patients with septic shock after abdominal surgery were assigned to the groups of DA and NE randomly. They were given DA or NE for 6 hours. Heart rate (HR), mean artery pressure (MAP), cardiac index (CI), stroke index (SI), systemic vascular resistance index (SVRI), mixed venous oxygen saturation (SvO2), early lactate clearance, and urine volume per hour (UV) were measured at the end of the 6 hour after the treatment. Creatinine clearance rate (Ccr) was measured at the end of the 12th hour after treatment. Results:There were no differences in MAP, CI or SVI between the two groups, HR was higher while SI was lower in DA group than that in NE group (P |
作者: |
吴健锋;陈娟;欧阳彬;杨春华;陈敏英;黄顺伟;管向东 |
作者单位: | 广州,中山大学附属第一医院SICU |
期刊: | 中华普通外科学文献(电子版) |
年.卷(期):页码 | 2010 .4(2):117-121 |
中图分类号: | |
文章编号: | |
引用格式: | [1]吴健锋;陈娟;欧阳彬;杨春华;陈敏英;黄顺伟;管向东.多巴胺及去甲肾上腺素对感染性休克患者血流动力学和组织氧代谢的影响[J/CD].中华普通外科学文献(电子版),2010,4(2):117-121. |
关键词: | 感染性休克 多巴胺 去甲肾上腺素 血流动力学 组织氧代谢 |
英文关键词: | Septic shock;Dopamine;Norepinephrine;Hemodynamics;Oxygen metabolism |
欢迎阅读《中华普通外科学文献(电子版)》!您是该文第2196位读者! |