ĐÁNH GIÁ KẾT QUẢ XỬ TRÍ HUYẾT ĐỘNG Ở BỆNH NHÂN SỐC ĐA CHẤN THƯƠNG TẠI BỆNH VIỆN ĐA KHOA TỈNH BẮC NINH THEO PHƯƠNG PHÁP PICCO

Abstract

Objective: To evaluate the result of hemodynamic management for 30 patients with multiple traumatic shock according to the PiCCO at Bac Ninh general hospital. Study methods: The descriptive prospective was conducted on 30 patients with multiple traumatic shock who were investigated hemodynamically according to the PiCCO at Bac Ninh general hospital. All patients were hemodynamicall investigated according to the PiCCO and treated based on clinnical mornitoring, laboratorytesting and PiCCO indicators. Regulate hemodynamics using fluid infusion, blood transfusion and vasopressors. Result of treatment was assessed when patients were discharged (being alive, being dead). Results: Among 30 patients: 22 males, 8 females. The lowest age was 16 years old, the highest age was 90 years old. All patients underwent hemodynamic testing according to the PiCCO method successfully. There were no catheter-related complications. Results when patients were discharged: 4 patients were dead and 26 patients were alive. Causes of death was severe traumatic brain in 2 patients and septic shock in 2 patients. Conclusions: Hemodynamic testing using the PiCCO method is a minimally invasive with few coplications and is hightly accurate. PiCCO is beneficial in patients with multiple traumatic shock, helping to reduce mechanical ventilation time, ICU stay, hospital stay, and mortality.