重症超声临床应用技术规范  

Technical specification for clinical application of critical ultrasonography

作　　者：尹万红[1] 王小亭 刘大为 晁彦公 管向东[4] 康焰[1] 严静[5] 马晓春[6] 汤耀卿[7] 胡振杰[8] 于凯江[9] 陈德昌 艾宇航[10] 张丽娜[10] 张宏民 武钧[7] 刘丽霞[8] 朱然[6] 何伟[11] 张青 丁欣 李莉[10] 李易[1] 刘海涛[9] 曾琴兵 司向[4] 陈焕 张军伟 许强宏[5] 陈文劲[13] 陈秀凯[14] 黄道政[15] 蔡书翰[16] 尚秀玲[17] 关键 杜鹃[18] 赵醴 王敏佳[5] 崔嵩[20] 王晓猛[21] 周然[1] 曾学英[1] 王艺萍[22] 吕立文[23] 朱炜华[24] 朱英[25] 段军[26] 杨婧[1] 杨浩[1] 中国重症超声研究组重症血流动力学治疗协作组 Yin Wanhong;Wang Xiaoting;Liu Dawei;Chao Yangong;Guan Xiangdong;Kang Yah;Yan Jing;Ma Xiaochun;Tang Yaoqing;Hu Zhenjie;Yu Kaijiang;Chen Dechang;Ai Yuhang;Zhang Lina;Zhang Hongmin;Wu Jun;Liu Lixia;Zhu Ran;He Wei;Zhang Qing;Ding Xin;Li Li;Li Yi;Liu Haitao;Zeng Qinbing;Si Xiang;Chen ttuan;Zhang Junwei;Xu Qianghong;Chen Wenjin;Chen Xiukai;Huang Daozheng;Cai Shuhan;Shang Xiuling;Guan Jian;Du Juan;Zhao Li;Wang Minfia;Cui Song;Wang Xiaomeng;Zhou Ran;Zeng Xueying;Wang Yiping;Lyu Liwen;Zhu Weihua;Zhu Ying;Duan Jun;Yang Jing;Yang Hao. Chinese Critical Ultrasound Study Group;Gritical Hemodynamic Therapy Collabration Group(Department of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China)

机构地区：[1]四川大学华西医院重症医学科,成都610041 [2]中国医学科学院北京协和医学院北京协和医院重症医学科 [3]清华大学第一附属医院急诊/ICU [4]中山大学附属第一医院重症医学科 [5]浙江医院ICU [6]中国医科大学附属第一医院重症医学科 [7]上海交通大学医学院附属瑞金医院重症医学科 [8]河北医科大学第四医院重症医学科 [9]哈尔滨医科大学附属肿瘤医院重症医学科 [10]中南大学湘雅医院重症医学科 [11]首都医科大学附属北京同仁医院重症医学科 [12]华北理工大学附属医院重症医学科 [13]首都医科大学宣武医院神经外科ICU [14]美国匹兹堡大学医学中心重症医学科 [15]广东省人民医院重症医学科 [16]武汉大学中南医院重症医学科 [17]福建省立医院重症医学三科 [18]山东大学齐鲁医院重症医学科 [19]上海儿童医学中心特诊部 [20]大连市中心医院重症医学科一病房SICU [21]徐州市中心医院重症医学科 [22]四川省人民医院重症医学科 [23]广西壮族自治区人民医院急诊科 [24]昆明医科大学第二附属医院重症医学科 [25]杭州市第一人民医院重症医学科 [26]中日友好医院外科ICU [27]不详

出　　处：《中华内科杂志》2018年第6期397-417,共21页Chinese Journal of Internal Medicine

摘　　要：重症超声是在重症医学理论指导下，运用超声技术，针对重症患者，以问题导向的、多目标整合的动态评估过程，是确定重症治疗，尤其是血流动力学治疗方向及调整精细治疗的重要手段。重症超声不同于传统的诊断超声，实施者和影像结果解读者均为重症医学专业人员，以评估脏器及系统的病理生理改变和病因学为核心，以重症医学诊疗思路整合上述临床信息。Critical uhrasonography（CUS） is different from the traditional diagnostic ultrasound, the examiner and interpreter of the image are critical care medicine physicians. The core content of CUS is to evaluate the pathophysiological changes of organs and systems and etiology changes. With the idea of critical care medicine as the soul, it can integrate the above information and clinical information, bedside real-time diagnosis and titration treatment, and evaluate the therapeutic effect so as to improve the outcome. CUS is a traditional technique which is applied as a new application method. The consensus of experts on critical ultrasonography in China released in 2016 put forward consensus suggestions on the concept, implementation and application of CUS. It should be further emphasized that the accurate and objective assessment and implementation of CUS requires the standardization of uhrasound image acquisition and the need to establish a CUS procedure. At the same time, the standardized training for CUS accepted by critical care medicine physicians requires the application of technical specifications, and the establishment of technical specifications is the basis for the quality control and continuous improvement of CUS. Chinese Critical Ultrasound Study Group and Critical Hemodynamic Therapy Collabration Group, based on the rich experience of clinical practice in critical care and research, combined with the essence of CUS, to learn the traditional ultrasonic essence, established the clinical application technical specifications of CUS, including in five parts： basic view and relevant indicators to obtain in CUS; basic norms for viscera organ assessmentand special assessment; standardized processes and systematic inspection programs; examples of CUS applications; CUS training and the application of qualification certification. The establishment of applied technology standard is helpful for standardized training and clinical correct implementation. It is helpful for clinical evaluation and correct guidance

关 键 词：重症患者 超声技术 临床应用 医学专业人员 病理生理改变 动态评估 血流动力学 治疗方 

分 类 号：R445.1[医药卫生—影像医学与核医学]