中国重症经食管超声临床应用专家共识(2019)  

A Chinese consensus statement on the clinical application of transesophageal echocardiography for critical care(2019)

作　　者：尹万红[1] 王小亭 刘大为 康焰[1] 晁彦公 张丽娜[4] 张宏民 武钧[5] 刘丽霞[6] 朱然[7] 何伟[8] 无 Yin Wanhong;Wang Xiaoting;Liu Dawei;Kang Yan;Chao Yangong;Zhang Lina;Zhang Hongmin;Wu Jun;Liu Lixia;Zhu Ran;He Wei(Department of Critical Care Medicine,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Critical Care Medicine,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Critical Care Medicine,the First Hospital of Tsinghua University,Beijing 100016,China;Department of Critical Care Medicine,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Critical Care Medicine,Ruijin Hospital Shanghai Jiaotong University School of Medicine,Shanghai 200025,China;Department of Critical Care Medicine,The Fourth Hospital of Hebei Medical University,Shijiazhuang 050011,China;Department of Critical Care Medicine,The First Hospital of China Medical University,Shenyang 110001,China;Department of Critical Care Medicine,Beijing Tongren Hospital,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,100730 [3]清华大学第一附属医院急诊/ICU,北京100061 [4]中南大学湘雅医院重症医学科,长沙410008 [5]上海交通大学医学院附属瑞金医院重症医学科,200025 [6]河北医科大学第四医院重症医学科,石家庄050011 [7]中国医科大学附属第一医院重症医学科,沈阳110001 [8]首都医科大学附属北京同仁医院重症医学科,100730 [9]中国重症超声研究组 [10]重症血流动力学治疗协作组

出　　处：《中华内科杂志》2019年第12期869-882,共14页Chinese Journal of Internal Medicine

基　　金：首都临床特色应用研究(Z181100001718209);四川大学华西医院临床研究孵化项目(2018HXFH032)。

摘　　要：经食管心脏超声(TEE)因其自身的特点和优势,非常适合重症患者诊治的需求而得以在ICU中应用。但由于重症患者诊治的特殊性,目前的应用方式尚未完全适应重症医学的特点,进而限制了其优势的发挥。因此我们结合自己的临床探索实践及国外研究,在重症医学理论指引下,将传统TEE拓展和改进并整合重症医学理念,确立了重症经食管心脏超声(TEECC)的概念,梳理了相关理念与应用规范,制定了《中国重症经食管超声临床应用专家共识(2019)》,旨在阐明TEECC的本质与特点准动TEECC合理、规范的临床应用,建立规范的TEECC理论体系,引导TEECC实践和临床科研的规范的健康发展,逐步完善TEECC临床应用的理论与实践,提高临床救治水平。Transesophageal echocardiography(TEE)is valuable in intensive care unit(ICU)because its application meets the requirements of diagnosis and treatment of critically ill patients.However,the current application has not fully adapted to the specialty of critical care.TEE could be more valuablein ICU when used with a new way that under the guidance of the theory of critical care and embedded into the treatment workflow.We have expanded and improved the application of traditional TEE and integrated the concept of critical care,established the concept of transesophageal echocardiography for critical care(TEECC).Chinese Critical Ultrasound Study Group(CCUSG)organized experts in the area to form the consensus based the previous studiesand the long term practice of critical care ultrasound and TEE,aiming at clarifying the nature and characteristics of TEECC,promoting the rational and standardized clinical application and the coming researches.The consensus of Chinese experts on clinical application of TEECC(2019)were 33 in total,of whichthe main items were as follows:(1)TEECC is a significant means,which is expanded and improved from the traditional transesophageal echocardiography according to characteristics of critically ill patients and is applied in ICU based on critically clinical scenarios and requirements by the critical care physician,to promote visualized,refined and precisely management of critically ill patients.(2)TEE possesses distinctive superiority in implementation in ICU.It has characteristics of images with good quality,operations with good stability and low-dependent of operators,monitoring with continuity,and visualization with all-dimensional and detail of heart and blood vessels.(3)As a means of refined monitoring that could resulted in precise diagnosis and treatment,TEECC expands the dimension of intensive monitoring and improves the performance of critical care.(4)Indications of TEECC application include clinical etiological searching and invasive procedures guiding when it acted as a traditional

关 键 词：重症经食管心脏超声 重症医学 共识 

分 类 号：R47[医药卫生—护理学]