危急病患者的早期腹膜功能障碍可以预测临床结果吗? 一个试点研究研究
Virgílio Dias Silva1, Catarina Pação2, Diana Buendía Palacios3
1Intensive Care Department, Centro Hospitalar Universitário Lisboa Norte, Lisbon. 26497@chln.min-saude.pt.
Medical ultrasonography
|December 20, 2024
概括
隔膜功能障碍 (DD) 在接受机械呼吸的患者中很常见. 隔膜超声波 (DUS) 评估隔膜加厚分数 (DTF) 在48小时后,在本研究中没有预测延长通风.
科学领域:
- 临界护理医学 临界护理医学
- 肺部病理学 肺部病理学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 隔膜功能障碍 (DD) 是延长机械通风的一个重要因素.
- 隔膜超声波 (DUS) 是评估隔膜功能,特别是隔膜加厚分数 (DTF) 的关键工具.
- 早期DUS对断奶结果的预测价值仍然不清楚.
研究的目的:
- 为了确定在侵袭性机械通风 (IMV) 48小时后早期DD的发生率.
- 评估DD,通过DTF评估,作为长期IMV的预测因素.
- 探索DD和晚期呼吸器相关肺炎 (VAP) 之间的关联.
主要方法:
- 在大学医院ICU进行前性,非干预性研究.
- 纳入了至少48小时IMV的成年患者.
- 在48小时后进行DUS以测量DTF;DD由特定的DTF切线值定义.
主要成果:
- 在包括的45名患者中,一半的患者在IMV 48小时后表现出DD.
- 在48小时后的DTF与内内输管或IMV的持续时间没有显著的相关性.
- 20%和30%的DTF截止值并不能预测长时间的IMV.
结论:
- 早期DD在IMV的48小时内流行.
- 48小时的DTF在这个队列中没有预测长期的IMV.
- 需要进一步的研究来了解DUS在重症监护和断奶决策中的动态作用.
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