The Application Value of Bedside Ultrasound in the Resuscitation of Non traumatic Shock Patients

CAI Huibin; LIN Jinzhi

doi:10.13919/j.issn.2095-6274.ZHJY2025

Abstract：Objective To explore the accuracy of bedside ultrasound in guiding fluid management for crit-ically ill patients with non-traumatic shock.Methods A retrospective analysis was conducted on the clinical data of 128 critically ill patients with non-traumatic shock who were admitted to Xiamen University Affiliated First Hospital,Xinglin Branch,from November 2023 to January 2025.Based on differences in resuscitation monitoring methods,the patients were divided into two groups:the observation group(bedside ultrasound monitoring,n=64)and the control group(traditional hemodynamic monitoring,n=64).The following variables were compared be-tween the two groups:6-hour resuscitation target achievement rate,24-hour fluid intake,24-hour norepinephrine dosage,duration of mechanical ventilation,ICU length of stay,28-day mortality rate,incidence of acute kidney injury(AKI),incidence of acute pulmonary edema,and hemodynamic and coagulation function-related param-eters.Results The observation group had a significantly higher 6-hour resuscitation target achievement rate compared to the control group.The 24-hour fluid intake,24-hour norepinephrine dosage,duration of mechanical ventilation,ICU length of stay,28-day mortality rate,incidence of AKI,and incidence of acute pulmonary edema were all significantly lower in the observation group than in the control group(P＜0.05).Prior to resuscitation,there were no significant differences in hemodynamic indicators such as mean arterial pressure(MAP),central venous pressure(CVP),and cardiac output(CO)between the two groups.After resuscitation,these hemodynamic indica-tors improved significantly in both groups(P＜0.001),and the observation group showed significantly higher levels of MAP,CVP,and CO compared to the con-trol group(P＜0.05).Regarding coagulation function before resuscitation,there were no significant differences in activated partial thromboplastin time(APTT),prothrombin time(PT),or fibrinogen(FIB)levels between the two groups(P＞0.05).After resuscitation,coagulation function-related parameters improved significantly in both groups(P＜0.001),and the observation group had significantly higher levels of PT and APTT,and significantly lower levels of FIB compared to the control group(P＜0.05).Conclusion Bedside ultrasound,by dynamically assessing fluid responsiveness,optimizing hemodynamic stability,and protecting coagulation function,significantly improves the resuscitation success rate in patients with non-traumatic shock.