重症超声在脓毒性休克血流动力学监测中的应用价值  

Application of critical care ultrasound in hemodynamic monitoring of septic shock

作　　者：余琨 陈妮[1] 张伟[1] 覃松[1] 陈淼[1] 陈涛[1] Yu Kun;Chen Ni;Zhang Wei;Qin Song;Chen Miao;Chen Tao(Department of Critical Care, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, Guizhou, China)

机构地区：[1]遵义医学院附属医院重症医学科,贵州遵义563000

出　　处：《中华危重病急救医学》2019年第2期248-251,共4页Chinese Critical Care Medicine

基　　金：国家自然科学基金(8156010205).

摘　　要：重症超声(CCUS)因其无创、实时、可重复性特点,已成为重症加强治疗病房(ICU)不可或缺的监测工具,在病因筛查、疾病诊疗及疗效评估,特别是脓毒性休克血流动力学监测方面扮演着重要角色。脓毒性休克病因复杂,常影响患者血流动力学状态而增加诊疗难度,通过心肺肾联合检查,CCUS可动态监测容量状况及器官功能变化,与临床信息及其他监测方法相结合,准确、及时、全面地管理患者的诊疗过程并评估其预后。本文通过对CCUS在脓毒性休克血流动力学监测中的应用进行综述,以期加强临床医生对CCUS在此方面知识的理解和应用,为患者的血流动力学监测提供参考。Critical care ultrasound (CCUS) has gradually become an indispensable monitoring tool in intensive care unit due to noninvasive, real-time and repeatability and is playing an important role in etiological screening, disease diagnosis, treatment and efficacy evaluation, especially in hemodynamic monitoring of septic shock. The etiology of septic shock is so complicated that often affect the hemodynamic status of patients, increasing the difficulty of diagnosis and treatment. CCUS can dynamically monitor the changes in volume and organ function through cardiopulmonary and renal examination, which is combined with clinical information and other monitoring methods to manage the patient's diagnosis and treatment and evaluate their prognosis more accurately, timely and comprehensively. The aim of this article is to enhance the understanding and clinical utility of ultrasonic knowledge and provide reference in patients' hemodynamic monitoring methods for clinicians after reviewing the application of CCUS in hemodynamic monitoring of septic shock.

关 键 词：重症超声 脓毒性休克 血流动力学 

分 类 号：R459.7[医药卫生—急诊医学]