Application of modified CCUE protocol in the etiological diagnosis of hypoxemia in ICU patients after cardiac surgery
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 admit-ted 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 pleu-ral effusion,26 cases of lung consolidation/atelectasis,11 cases of pneumothorax.Further evaluation confirmed 34 ca-ses of pulmonary edema,16 cases of pleural effusion,26 cases of lung consolidation/atelectasis,and 10 cases of pneu-mothorax.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.
Improved rapid management mode of severe ultrasoundUltrasoundHeart surgeryICUHypoxemia
万方数据
维普
