下腔静脉变异度评估容量反应性影响因素  

The influencing factors of fluid responsiveness evaluated by inferior vena cava variability

作　　者：闫明坤 张延杰 杨毅[1] 徐静媛[1] Yan Mingkun;Zhang Yanjie;Yang Yi;Xu Jingyuan(Jiangsu Provincial Key Laboratory of Critical Care Medicine,Department of Critical Care Medicine,Zhong-Da Hospital,School of Clinical Medicine,Southeast University,Nanjing,Jiangsu,China)

机构地区：[1]东南大学附属中大医院重症医学科、江苏省重症医学重点实验室

出　　处：《实用休克杂志（中英文）》2023年第6期324-326,332,共4页Journal of Practical Shock

基　　金：江苏省医学青年人才(项目编号:QNRC2016808);国家自然科学基金(项目编号:82272211);国家重点研发计划(项目编号:2021YFC2500800)。

摘　　要：休克是重症患者常见的病理生理状态,病死率高。液体治疗是治疗休克的重要手段之一,实施液体治疗的前提是确保患者具有容量反应性,下腔静脉变异度是临床上常用的容量反应性评价手段,具有简单、无创、易学等优点。目前已有多项研究对其影响因素进行探究,但部分影响因素的具体作用尚未完全明确。本文就评估下腔静脉变异度的影响因素与相关研究进展做一讨论。Shock is a common pathophysiological condition in critically ill patients with a high mortality rate.Fluid therapy is one of the essential approaches in treating shock,with the prerequisite being the determination of the patient's fluid responsiveness.Inferior vena cava collapsibility index is a commonly used clinical tool for assessing fluid responsiveness,known for its simplicity,non-invasiveness,and ease of use.Several studies have investigated its influencing factors;however,the specific roles of some of these factors remain not entirely clear.This article provides a review of the influencing factors and research progress related to the assessment of inferior vena cava collapsibility index.

关 键 词：休克 下腔静脉 容量反应性 

分 类 号：R459.7[医药卫生—急诊医学]