“5E”心脏急症超声检查基本规范在床旁急诊中的应用价值  

Value of “5Es” emergency cardiac ultrasound in bedside emergency

作　　者：王红鹄 赵琋 韩正阳 赵娜[1] Wang Honghu;Zhao Xi;Han Zhengyang;Zhao Na(Department of Ultrasound,First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan450000China)

机构地区：[1]郑州大学第一附属医院超声科,河南郑州450000

出　　处：《实用医技杂志》2023年第5期310-313,共4页Journal of Practical Medical Techniques

基　　金：河南省科技发展计划(232102311154)。

摘　　要：目的探讨“5E”心脏急症超声检查基本规范在床旁急诊中的应用价值。方法回顾性分析自2021年1月至2022年12月至郑州大学第一附属医院就诊进行床旁急诊超声检查心血管急危重症的患者4140例。采用便携式床旁超声诊断仪,推机器至患者床旁,进行超声心动图检查。依据耶鲁大学医学院急症医学中心团队制定的“5E”的心脏急症超声检查的基本规范,快速观察心包积液、射血分数、腔室比例、流出道和流入道情况。结果床旁急诊超声阳性患者3925例,阳性率94.82%。其中心包积液601例(15.33%),心脏压塞27例(0.73%),左室射血分数减低1421例(36.28%),右心功能减低96例(2.41%),心肌梗死1715例(43.72%),心肌梗死并发症514例(13.13%),肺动脉高压497例(12.72%),肺栓塞15例(0.44%),主动脉夹层82例(2.13%),先天性心脏病139例(3.54%),瓣膜病265例(6.82%),心脏占位16例(0.42%)。“5E”心脏急症超声检查基本规范检查时间为(6.7±0.9)min,传统的床边急诊心脏彩色多普勒超声检查时间为(10.0±0.9)min。结论“5E”心脏急症超声检查基本规范在心血管系统床旁急诊超声中可快速、安全、便捷地提供诊断资料,为患者病情检测和及时干预提供有效信息。Objective To explore the value of“5Es”emergency cardiac ultrasound examination in bedside emergency.Methods Retrospectively analyze 4140 patients with critical cardiovascular diseases who visited the First Affiliated Hospital of Zhengzhou University from January 2021 to December 2022 for bedside emergency ultrasound examination.A portable bedside ultrasonic diagnostic instrument was used on these patient for ultrasonic cardiogram examination.According to the basic specifications of“5E”cardiac emergency ultrasonic examination formulated by the team of the Emergency Medical Center of Yale University,pericardial effusion,left ventricular ejection fraction,ventricular equality,cardiac exit and entrance were observed quickly.Results A total of 3925 patients were positive in bedside emergency ultrasound,the positive rate was 94.82%.In the positive cases,601 cases(15.33%)had pericardial effusion,27 cases(0.73%)had cardiac tamponade.1421 cases(36.28%)had left ventricular ejection fraction decreased,96 cases(2.41%)had decreased right ventricular function,1715 cases(43.72%)had myocardial infarction,514 cases(13.13%)had complications of myocardial infarction,497 cases(12.72%)had pulmonary hypertension,15 cases(0.44%)had pulmonary embolism,82 cases(2.13%)had aortic dissection,139 cases(3.54%)had congenital heart disease,265 cases(6.82%)had valvular heart disease,16 cases(0.42%)had cardiac space-occupying lesions.The examination time of"5E"cardiac emergency ultrasound is(6.7±0.9)minutes and the examination time of traditional bedside emergency cardiac ultrasound is(10.0±0.9)minutes.Conclusion The“5E”cardiac emergency ultrasound can provide diagnostic data quickly,safely and conveniently in bedside and timely provide effective information for(patients′disease)detection and intervention.

关 键 词：心脏 超声检查 床旁诊断化验系统 急诊处理 

分 类 号：R459.7[医药卫生—急诊医学]