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- W2348014701 abstract "Objective To study the guiding role of ultrasonic cardiac output monitor(USCOM)in fluid management of ARDS patients induced by pulmonary contusion.Methods A total of 30 ARDS patients induced by pulmonary contusion were randomly divided into the experimental group and the control group(n=15each),and the experimental group was given the fluid management according to USCOM,and the control group according to CVP.Liquid intake and output volumes after 24,48 and 72h were calculated.Arterial blood lactic acid and oxygenation index were measured at 1th,2th,3th,5th and 7th day.Patients were followed until time of hospital discharge to determine hours of mechanical ventilation,hours of vasoactive agent support and 28 d mortality.Results There were no statistical difference in the liquid balance volume of intake and output between the two groups after 24,48 and 72h.statistical difference was found in oxygenation index between the two groups at 5th day.Oxygenation index improved earlier in the USCOM group.Hours of mechanical ventilation of the USCOM group was significantly shorter than the patients' of the CVP group,however,there was no statistical difference between the two groups in hours of vasoactive agent support.Conclusions The fluid management using USCOM can earlier improve the oxygenation index and shorten duration of mechanical ventilation,but can't significantly decrease the 28 dmortality rate of ARDS patients induced by pulmonary contusion." @default.
- W2348014701 created "2016-06-24" @default.
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- W2348014701 date "2014-01-01" @default.
- W2348014701 modified "2023-09-24" @default.
- W2348014701 title "Guiding role of USCOM in fluid management of ARDS patients induced by pulmonary contusion" @default.
- W2348014701 hasPublicationYear "2014" @default.
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