血管外肺水监测方法研究进展  

Recent Advances in Extravascular Lung Water Monitoring

作　　者：姚玉龙[1] 雷鸣[1] 李文放[2] YAO Yu-Long;LEI Ming;LI Wen-fang(ICU,Seventh People's Hospital of Shanghai University of TCM,Shanghai 200137,China;Department of Emergency,Shanghai Changzheng Hospital,Shanghai 200003,China)

机构地区：[1]上海中医药大学附属第七人民医院重症医学科,上海市200137 [2]第二军医大学附属长征医院急救科,上海市200003

出　　处：《中国全科医学》2018年第24期3015-3019,共5页Chinese General Practice

基　　金：上海市卫计委重要薄弱学科建设项目(2016ZB0201);上海市浦东新区卫生系统重点学科建设项目(2017ZD0215)

摘　　要：血管外肺水(EVLW)即肺血管腔以外的液体,能够反映各种类型肺水肿的严重程度,是重症监护病房(ICU)常用的监测指标,其不仅可作为评价肺病理生理的重要监测指标,也能评估危重患者循环状态,判断重症患者预后,在临床上的应用越来越受到重视。目前,评估EVLW的方法较多,如何正确监测EVLW对重症患者的诊断及治疗均有重要意义。为加深对EVLW监测的理解,本文就目前EVLW的监测方法进行介绍,着重比较其原理、方法、局限性及研究进展。Extravascular lung water(EVLW)is the amount of fluid accumulating in the spaces outside the pulmonary vessels,which is a parameter commonly monitored for evaluating the severity of pulmonary edema in ICU patients.EVLW achieves increasing attention for it can be applied to assess pulmonary pathophysiological conditions,pulmonary circulation as well as the outcome of critically ill patients.Therefore,correctly monitoring EVLW is of great significance in the diagnosis and treatment of critically ill patients.In order to improve healthcare providers'understanding of EVLW monitoring,we introduced some currently used methods for monitoring EVLW,focusing on comparing the monitoring principles,procedure of use,limitations and developments between them.

关 键 词：血管外肺水 监测 进展 

分 类 号：R331.55[医药卫生—人体生理学]