【正文】
ong the three groups. Results ①Severe generalized edema and decreased ITBI appeared in the survival group on the day of surgery, and the ELWI was not higher than the control group (P>). ②On the second day and the third day after surgery, the ITBI reached the normal range and the ELWI exceeded the normal range in the survival group (P ). ③On the fourth day, the ITBI increased, but the ELWI decreased in the survival group pared with the third day (P ). ④The ITBI in the dead group was lower than those in the survival group and the control group. The ELWI in the dead group increased continually (all P ). ⑤From the day of surgery to the third day after surgery, the ELWI was positively correlated with the ITBI in the survival group (r = , P ), and there was no correlation from the fourth day to the fifth day after surgery. There was no correlation between ELWI and ITBI in different stages in the death group or control group. Conclusion There is special law between pulmonary circulation and systemic circulation in different stages of posttraumatic CLS patients, which has important clinical significance at guiding the liquid treatment and evaluating prognosis. Key words: trauma;capillary leak syndrome;pulse index continuous cardiac output;Hemodynamics創(chuàng)傷后毛細(xì)血管滲漏綜合征(capillary leak syndrome, CLS)是嚴(yán)重創(chuàng)傷后常見的一組綜合征。對照組和死亡組在術(shù)后不同時期兩參數(shù)均無相關(guān)。④死亡組術(shù)后各天ITBI均低于正常組和對照組,而ELWI持續(xù)增高(P 均 )。②術(shù)后第2天和第3天, 存活組ITBI達(dá)到正常范圍,ELWI則超出正常范圍(P )。分析各組手術(shù)后液體平衡量、胸內(nèi)血容積指數(shù)(ITBI)和血管外肺水指數(shù)(ELWI)在組內(nèi)和