电阻抗断层成像技术在ARDS患者全流程管理中的应用进展  

Advances in Applications of Electrical Impedance Tomography in Whole Process Management of ARDS Patients

作　　者：邹海达 张春阳 高贵锋 刘韶华[2] 钱何布 林海[4] 徐创业 ZOU Haida;ZHANG Chunyang;GAO Guifeng;LIU Shaohua;QIAN Hebu;LIN Hai;XU Chuangye(Guangdong Engineering Technology Research Center of Emergency and Life Support Medical Equipment,Ambulanc(Shenzhen)Tech.Co.,Ltd.,Shenzhen Guangdong 518000,China;Department of Comprehensive ICU,The First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450052,China;Department of Emergency,Suzhou Ninth Hospital Affiliated to Soochow University,Suzhou Jiangsu 215006,China;Department of Emergency,Maanshan People’s Hospital,Maanshan Anhui 243009,China)

机构地区：[1]深圳市安保医疗科技股份有限公司广东省急救和生命支持类医疗设备工程技术研究中心,广东深圳518000 [2]郑州大学第一附属医院综合ICU,河南郑州450052 [3]苏州大学附属苏州九院急救重症科,江苏苏州215006 [4]马鞍山市人民医院重症医学科,安徽马鞍山243009

出　　处：《中国医疗设备》2023年第10期136-141,共6页China Medical Devices

基　　金：国家重点研发计划(SQ2022YFC2400485)。

摘　　要：急性呼吸窘迫综合征(Acute Respiratory Distress Syndrome,ARDS)是由急性肺损伤引起的临床常见危重病症,个体间差异大、治疗困难、病死率高,急需个体化监测指导。现有的CT、单光子发射计算机体层摄影等经典监测手段不能同时实现ARDS机械通气治疗无创、床旁和可视化监测。电阻抗断层成像(Electrical Impedance Tomography,EIT)技术作为一种无创功能成像的新工具,被越来越多地应用到ARDS患者的治疗全流程管理中。本文旨在综述EIT技术原理、功能以及在ARDS患者机械通气治疗全流程管理中的应用进展,以期为后续EIT技术的发展及其在ARDS临床应用实践的进一步研究提供一定的参考依据。Acute respiratory distress syndrome(ARDS)is a common critical illness caused by acute lung injury in clinical practice.There are significant differences between individuals,difficult treatment,and high mortality rates,and personalized monitoring and guidance are urgently needed.The existing classical monitoring means such as CT and single photon emission computed tomography cannot simultaneously realize the non-invasive,bedside and visual monitoring of ARDS mechanical ventilation treatment.The electrical impedance tomography(EIT)technology,as a new non-invasive functional imaging tool,has been increasingly applied to the whole process management of ARDS patient treatment.This article aims to review the principles,functions,and application progress of EIT technology in the whole process management of mechanical ventilation treatment for ARDS patients,in order to provide a reference basis for the development of EIT technology and further research on its clinical application in ARDS.

关 键 词：急性呼吸窘迫综合征 电阻抗断层成像 机械通气治疗 全流程管理 

分 类 号：R197.39[医药卫生—卫生事业管理] R318.6[医药卫生—公共卫生与预防医学]