[1]韦树旺,韦张旭,廖世锋,等.改良重症超声快速管理方案在心脏外科术后ICU患者低氧血症病因诊断中的应用研究[J].陕西医学杂志,2025,54(1):93-96.[doi:DOI:10.3969/j.issn.1000-7377.2025.01.018]
　WEI Shuwang,WEI Zhangxu,LIAO Shifeng,et al.Application of modified CCUE protocol in the etiological diagnosis of hypoxemia in ICU patients after cardiac surgery[J].,2025,54(1):93-96.[doi:DOI:10.3969/j.issn.1000-7377.2025.01.018]
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改良重症超声快速管理方案在心脏外科术后ICU患者低氧血症病因诊断中的应用研究
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
54
期数:
2025年1期
页码:
93-96
栏目:
临床研究
出版日期:
2025-01-05

文章信息/Info

Title:
Application of modified CCUE protocol in the etiological diagnosis of hypoxemia in ICU patients after cardiac surgery
作者:
韦树旺1; 韦张旭1; 廖世锋2; 韦珊珊3; 韦柳江4; 兰婕燕1; 韦玉璇1; 谢玲玲1
(1.河池市第三人民医院重症医学科,广西 河池 547000; 2.河池市第三人民医院心胸外科,广西 河池 547000; 3.河池市第三人民医院麻醉科,广西 河池 547000; 4.河池市第三人民医院超声科,广西 河池 547000)
Author(s):
WEI Shuwang; WEI Zhangxu; LIAO Shifeng; WEI Shanshan; WEI Liujiang; LAN Jieyan; WEI Yuxuan; XIE Lingling
(Department of Critical Care Medicine,The Third People's Hospital of Hechi City,Hechi 547000,China)
关键词:
改良重症超声快速管理方案;  超声;  心脏手术;  ICU;  低氧血症
Keywords:
Improved rapid management mode of severe ultrasound;  Ultrasound;  Heart surgery;  ICU;  Hypoxemia
分类号:
R 654.2
DOI:
DOI:10.3969/j.issn.1000-7377.2025.01.018
文献标志码:
A
摘要:
目的:探讨改良重症超声快速管理方案(M-CCUE)在心脏外科术后重症监护室(ICU)患者低氧血症病因诊断中的应用。方法:选择86例转入ICU低氧血症患者,采用M-CCUE方案进行病因分析,并与最终诊断结果进行匹配,对比分析M-CCUE方案诊断效能。结果:86例常规检查诊断肺水肿30例,胸腔积液17例,肺实变/肺不张25例,气胸12例。经M-CCUE方案诊断肺水肿33例,胸腔积液16例,肺实变/肺不张26例,气胸11例。进一步评估,最终确诊肺水肿34例,胸腔积液16例,肺实变/肺不张26例,气胸10例。常规检查对气胸诊断特异度为92.10%,灵敏度为60.00%,肺水肿诊断特异度为84.61%,灵敏度为64.70%,对胸腔积液、肺实变/肺不张诊断灵敏度均为超过60.00%。M-CCUE方案对胸腔积液、肺实变/肺不张、气胸诊断的特异度、灵敏度均高于80.00%。结论:M-CCUE方案对心脏外科术后低氧血症患者病因诊断灵敏度、特异度较高。
Abstract:
Objective:To explore the application of improved rapid ultrasound management mode in the etiology diagnosis of hypoxemia in ICU patients after cardiac surgery.Methods:A total of 86 patients with hypoxemia admitted to ICU were selected,and the M-CCUE protocol was used to analyze the etiology and match the final diagnosis results,and the diagnostic efficacy of the M-CCUE protocol was compared and analyzed.Results:In 86 cases,30 cases of pulmonary edema,17 cases of pleural effusion,25 cases of lung consolidation/atelectasis,12 cases of pneumothorax were diagnosed by routine examination.M-CCUE protocol diagnosed 33 cases of pulmonary edema,16 cases of pleural effusion,26 cases of lung consolidation/atelectasis,11 cases of pneumothorax.Further evaluation confirmed 34 cases of pulmonary edema,16 cases of pleural effusion,26 cases of lung consolidation/atelectasis,and 10 cases of pneumothorax.The diagnostic specificity of routine examination for pneumothorax was 92.10% and sensitivity was 60.00%,the diagnostic specificity for pulmonary edema was 84.61% and sensitivity was 64.70%,and the diagnostic sensitivity for pleural effusion and pulmonary compactness/atelectasis was more than 60.00%.The specificity and sensitivity of M-CCUE protocol in the diagnosis of pleural effusion,lung compactness/attasis and pneumothorax are higher than 80.00%.Conclusion:M-CCUE protocol has high sensitivity and specificity in the etiological diagnosis of patients with hypoxemia after cardiac surgery,and is worthy of clinical promotion.

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备注/Memo

备注/Memo:
基金项目:广西壮族自治区卫生健康委员会自筹经费科研课题(Z20190575)
更新日期/Last Update: 2025-01-06