危重患儿血流动力学监测的研究进展  

Research progress on hemodynamic monitoring in critically ill children

作　　者：黄座银 陈建丽 周茉[2] Huang Zuoyin;Chen Jianli;Zhou Mo(Guizhou Medical University,Guiyang 550004,China;Guiyang Maternal and Child Health Care Hospital,Guiyang 550000,China)

机构地区：[1]贵州医科大学,贵阳550004 [2]贵阳市妇幼保健院,550000

出　　处：《中国小儿急救医学》2022年第2期151-154,共4页Chinese Pediatric Emergency Medicine

基　　金：贵阳市卫生健康局科学技术计划项目([2020]筑卫健科技合同字第022号)。

摘　　要：血流动力学不稳定是危重患儿死亡的主要原因之一,实时、动态地监测血流动力学变化是重症监护病房和手术室工作的重要组成部分。在过去的50年里,有创肺动脉导管热稀释法一直被公认为是监测血流动力学的"金标准"。由于该技术易对机体造成创伤、并发症多,且操作难度大,近年来在临床的使用率已经下降。因此,微创或完全无创、操作简单、且准确度与有创方法高度相关的血流动力学监测技术越来越受到儿科临床医生的关注。本文通过对临床常用的血流动力学监测技术的测量原理及使用现状做一总结,以期为临床实践中选择合适的监测方法提供参考。Hemodynamic instability is one of the main causes of death in critically ill children.Real-time and dynamic monitoring of hemodynamic changes is an important part of the work in intensive care units and operating rooms.For the past 50 years,invasive pulmonary catheter thermal dilution has been recognized as the"gold standard"for hemodynamic monitoring,but its clinical use has declined in recent years due to its patient injury,complications,and difficulty in operation.Therefore,hemodynamic monitoring techniques that are minimally or completely noninvasive,simple to perform,and highly correlated in accuracy with invasive methods are receiving increasing attention from pediatric clinicians.This review summarized the measuring principle and application status of various monitoring technologies,in order to provide evidence for the selection of appropriate monitoring methods in clinical practice.

关 键 词：血流动力学监测 儿童 心输出量 

分 类 号：R720.597[医药卫生—急诊医学]