超声评估膈肌功能的应用进展  

Application progress of ultrasound in evaluation of diaphragm function

作　　者：陈梦 王白冰 王丹丹 童明辉[1] CHEN Meng;WANG Baibing;WANG Dandan;TONG Minghui(Department of Pediatric Functional Examination,Lanzhou University Second Hospital,Lanzhou 730030,China)

机构地区：[1]兰州大学第二医院儿童功能检查科,兰州市730030

出　　处：《临床超声医学杂志》2022年第5期378-381,共4页Journal of Clinical Ultrasound in Medicine

摘　　要：膈肌功能障碍会导致ICU住院时间延长、脱机失败及死亡率升高,因此,及时评估膈肌功能对于患者的预后转归极为重要。以往膈肌功能评估多采用透视、CT、MRI、跨膈压、膈肌电活动等方法,但因存在辐射、有创、操作复杂等原因临床应用受限。超声作为一种实时、无创、无辐射、可定性及定量的检查方法,已广泛应用于膈肌功能的监测。本文就超声评估膈肌功能的相关参数及其应用进展进行综述。Diaphragm dysfunction is associated with prolonged ICU stays,weaning failure,and increased mortality,so timely assessment of diaphragm function is critical for patient outcomes.In the past,fluoroscopy,CT,MRI,transdiaphragmatic pressure and electrical activity of the diaphragm were used to evaluate diaphragm function,but the use was limited due to radiation,invasiveness,complex operation and other reasons.As a real-time,non-invasive,non-radiative,qualitative and quantitative examination method,ultrasound can be widely used in the monitoring of diaphragm function.This paper reviews the parameters of diaphragm function and the application progress of diaphragm function evaluated by ultrasound in different clinical conditions.

关 键 词：超声检查 膈肌 机械通气 慢性阻塞性肺疾病 神经肌肉疾病 

分 类 号：R445.1[医药卫生—影像医学与核医学]