重症肾脏超声:肾脏血流动力学评估  

Critical renal ultrasound:evaluation of renal hemodynamics

作　　者：王小亭[1,2,3,4,5,6] 王广健 张宏民 Wang Xiaoting;Wang Guangjian;Zhang Hongmin(Department of Critical Care Medicine,Peking Union Medical College Hospital,Beijing 100730 China;Chinese Critical Ultrasound Study Group)

机构地区：[1]北京协和医院重症医学科,北京100730 [2]中国重症超声研究组 [3]中华医学会重症分会 [4]北京重症超声研究会 [5]北京协和医院科研委员会 [6]中华医学会

出　　处：《临床荟萃》2019年第7期581-583,共3页Clinical Focus

摘　　要：器官的血流动力学评估逐渐成为热门话题。肾脏作为最易受休克影响的器官之一,其血流动力学评估也备受重视。重症超声由于具有动态、实时、可重复的特点,能兼顾结构与血流灌注的结合,更是为重症患者的器官血流动力学评估提供了新的理念和方法。本文重点阐述重症超声在肾脏血流动力学评估中的应用及意义,主要包括脉冲多普勒肾血管阻力指数测定、彩色多普勒血流显像结合彩色血流定量技术和超声造影成像等内容。In recent years, the evaluation of organ hemodynamics has gradually become a hot topic. As one of the most vulnerable organs to shock, the hemodynamic evaluation of kidney has been paid more and more attention. Because of its dynamic, real-time and repeatable characteristics, critical ultrasound can take into account of structure and perfusion, and it provide a new concept and method for the evaluation of organ hemodynamics in critically ill patients. This paper focuses on the application and significance of critical ultrasound in renal hemodynamic evaluation, including pulse Doppler renal resistance index, color Doppler flow imaging combined with color flow quantitative technique and contrast-enhanced ultrasound and other content.

关 键 词：危重病人医疗 超声检查 肾脏 血流动力学 

分 类 号：R473.52[医药卫生—护理学]