床旁即时超声在新生儿休克诊疗中的应用进展  

Application of point-of-care ultrasound in the diagnosis and treatment of neonatal shock

作　　者：党银霞 杨保旺[1] 王凡[1] Dang Yinxia;Yang Baowang;Wang Fan(The Second Hospital of Lanzhou University,Lanzhou 730030,China)

机构地区：[1]兰州大学第二医院,甘肃兰州730030

出　　处：《中国急救医学》2024年第3期258-262,共5页Chinese Journal of Critical Care Medicine

基　　金：甘肃省自然科学基金项目(22JR5RA985);兰州大学第二医院萃英科技创新基金(CY2022-BJ-05)。

摘　　要：新生儿休克是新生儿重症监护病房患者住院和死亡的主要原因之一。根据血流动力学分型将休克分为四种类型,不同原因的休克在同一个患者中可能会同时出现并可能互相转换,因此,快速明确休克类型对休克治疗至关重要。床旁超声技术作为一种对各重症单元可视化动态检查的评估手段,在成人重症监护领域必不可少。近年来,重症超声技术在新生儿科的应用越来越广泛,床旁即时超声(POCUS)技术可对心肺氧输送器官进行实时动态评估,可明确休克的病理生理机制。本文结合国内外床旁超声的发展现状和新生儿休克特点,阐述POCUS在新生儿休克及治疗中的应用价值。Neonatal shock is one of the main reasons of hospitalization and death in neonatal intensive care units.According to the hemodynamic classification,shock is divided into four different types,and different causes of shock may occur simultaneously and switch to each other in the same patient.Therefore,rapid identification of shock types is crucial for shock treatment.Bedside ultrasound technology,as a visual dynamic examination and evaluation method for various critical care units,is essential in the field of adult intensive care.In recent years,the application of critical ultrasound technology in neonatal pediatrics has become increasingly widespread.Point-of-care ultrasound(POCUS) technology can conduct real-time dynamic evaluation of oxygen delivery organs(heart and lung),clarifying the pathophysiological mechanisms of shock.This article combines with the current development status of bedside ultrasound at home and abroad and the characteristics of neonatal shock,and elaborates on the application value of critical care ultrasound in neonatal shock and treatment.

关 键 词：新生儿 血流动力学分型 床旁即时超声 下腔静脉 心输出量 左心室射血分数 心指数 氧输送 

分 类 号：R722.1[医药卫生—儿科] R445.1[医药卫生—临床医学]