简介：摘要目的探讨无创超声心输出量监测(USCOM)在休克早期复苏中的应用价值.方法将５０例２０１１年７月至２０１３年７月期间在我院接受治疗的ICU休克患者随机分２组,每组各２５例.观察组进行液体复苏,对照组予以积极的容量复苏,观察两组患者早期复苏效果.结果观察组患者的CVP、MAP、ScvO２水平高于对照组,乳酸值低于对照组;观察组血管活性药物使用时间、机械通气时间、入住ICU时间均短于对照组;两组患者的１４天死亡率比较,P＜０．０５.结论无创USCOM对休克患者的早期复苏治疗具有重要的指导作用.关键词无创超声;心输出量监测;休克;复苏TheguidingroleofnoninvasiveultrasoniccardiacoutputmonitoringduringearlyresuscitationofshockMengSuqiu１LiuJihua２(ShanxianCountyCentralHosＧpital２７４３００)AbstractObjectiveToinvestigatetheapplicationvalueofnoninvasivecardiacoutputmonitoring(USCOM)inearlyresuscitationofshock．Methods５０caＧsesofICUshockwererandomlydividedinto２groups,２５casesineachgroup,casesineachgroup．Theobservationgroupwastreatedwithliquidrecovery,andthecontrolgroupwastreatedwithapositivevolumerecovery．ResultsThelevelsofScvO２,MAPandCVPintheobservationgroupwerehigherthanthoseinthecontrolgroup,thelacticacidvaluewaslowerthanthatofthecontrolgroup,thetimeofvasoactivedrugs,mechanicalventilationtime,ICUtimewereshorterthanthoseinthecontrolgroup．The１４groupswerecomparedwiththetwodaymortality,P＜０．０５．ConclusionThenoninvasiveUSCOMhasimportantguidancefortheearKleyyrewcoorvdesryofshockpatients．Noninvasiveultrasound;cardiacoutputmonitoring;shock;resuscitation中图分类号R４４５．１文献标识码B文章编号１００８－６３１５(２０１５)１２－１３７６－０１