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一种计算脉压变异的新方法，用于预测极低出生体重儿输液时的液体反应性。

Novel Method of Calculating Pulse Pressure Variation to Predict Fluid Responsiveness to Transfusion in Very Low Birth Weight Infants.

机构信息

Department of Pediatrics, Baylor College of Medicine, Houston, TX.

Department of Neuroscience, Baylor College of Medicine, Houston, TX.

出版信息

J Pediatr. 2021 Jul;234:265-268.e1. doi: 10.1016/j.jpeds.2021.04.012. Epub 2021 Apr 15.

DOI:10.1016/j.jpeds.2021.04.012
PMID:33865859
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8238876/
Abstract

A novel technique was used to calculate pulse pressure variation. The algorithm reliably predicted fluid responsiveness to transfusion, with a receiver operating characteristic area under the curve of 0.89. This technique may assist clinicians in the management of fluids and vasoactive medications for premature infants.

摘要

采用一种新的技术来计算脉压变异度。该算法能够可靠地预测输液反应性，其受试者工作特征曲线下面积为 0.89。该技术可能有助于临床医生管理早产儿的液体和血管活性药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6798/8238876/7f3411d23ea8/nihms-1694169-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6798/8238876/d71c0bc8d14d/nihms-1694169-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6798/8238876/7f3411d23ea8/nihms-1694169-f0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6798/8238876/d71c0bc8d14d/nihms-1694169-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6798/8238876/7f3411d23ea8/nihms-1694169-f0002.jpg

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1
Novel Method of Calculating Pulse Pressure Variation to Predict Fluid Responsiveness to Transfusion in Very Low Birth Weight Infants.一种计算脉压变异的新方法，用于预测极低出生体重儿输液时的液体反应性。
J Pediatr. 2021 Jul;234:265-268.e1. doi: 10.1016/j.jpeds.2021.04.012. Epub 2021 Apr 15.
2
[Hypotension in the very preterm infant].
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Performance of Tools and Measures to Predict Fluid Responsiveness in Pediatric Shock and Critical Illness: A Systematic Review and Meta-Analysis.工具和措施在预测儿童休克和危重症液体反应性方面的表现：系统评价和荟萃分析。
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本文引用的文献

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A robust Fourier-based method to measure pulse pressure variability.一种基于傅里叶的稳健脉搏压变异性测量方法。
Biomed Signal Process Control. 2020 Jul;60. doi: 10.1016/j.bspc.2020.101947. Epub 2020 Apr 17.
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Pulse pressure variation shows a direct linear correlation with tidal volume in anesthetized healthy patients.在麻醉状态下的健康患者中，脉压变异与潮气量呈直接线性相关。
BMC Anesthesiol. 2016 Sep 8;16:75. doi: 10.1186/s12871-016-0233-y.
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Neonatal Acute Kidney Injury.新生儿急性肾损伤。
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Does pulse pressure variation predict fluid responsiveness in critically ill patients? A systematic review and meta-analysis.脉压变异能否预测危重症患者的液体反应性？一项系统评价与荟萃分析。
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Anesth Analg. 2013 Dec;117(6):1380-92. doi: 10.1213/ANE.0b013e3182a9557e.
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Prediction of fluid responsiveness by a continuous non-invasive assessment of arterial pressure in critically ill patients: comparison with four other dynamic indices.在危重病患者中通过连续无创动脉压力评估预测液体反应性：与其他四个动态指数的比较。
Br J Anaesth. 2012 Sep;109(3):330-8. doi: 10.1093/bja/aes182. Epub 2012 Jun 26.
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Intraoperative use of transoesophageal Doppler to predict response to volume expansion in infants and neonates.经食管多普勒术中预测婴儿和新生儿对容量扩充的反应。
Br J Anaesth. 2012 Jan;108(1):100-7. doi: 10.1093/bja/aer336. Epub 2011 Oct 20.
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Predicting fluid responsiveness in mechanically ventilated children under general anaesthesia using dynamic parameters and transthoracic echocardiography.使用动态参数和经胸超声心动图预测全身麻醉下机械通气患儿的液体反应性。
Br J Anaesth. 2011 Jun;106(6):856-64. doi: 10.1093/bja/aer090. Epub 2011 Apr 26.
10
Respiratory variation in aortic blood flow velocity as a predictor of fluid responsiveness in children after repair of ventricular septal defect.室间隔缺损修补术后儿童主动脉血流速度的呼吸变化作为液体反应性的预测指标
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