掌上超声心动图在心血管疾病诊疗实践中的应用进展  

Application of Hand-Held Echocardiography in Diagnosis and Treatment of Cardiovascular Diseases

作　　者：曾纪娟 杨子玄 张庆[1] ZENG Jijuan;YANG Zixuan;ZHANG Qing(Department of Cardiology,West China Hospital of Sichuan University,Chengdu 610041,Sichuan,China)

机构地区：[1]四川大学华西医院心脏内科,四川成都610041

出　　处：《心血管病学进展》2024年第2期120-124,135,共6页Advances in Cardiovascular Diseases

基　　金：四川大学华西医院学科卓越发展1·3·5工程临床研究孵化项目(2020HXFH045)。

摘　　要：与标准经胸超声心动图设备相比较,掌上超声心动图(HHE)设备的便携性和可移动性更强,且更具价格优势。随着技术进步,HHE已具备二维灰阶、M型、彩色多普勒超声成像技术,实现即时心脏结构功能评价,且在评估心脏腔室大小,左心室整体或局部收缩功能、心包积液、定性评价瓣膜狭窄及反流方面具有较高的准确性。近年多个研究探讨在不同临床场景下,HHE辅助疾病诊断和指导临床决策的应用价值。现综述HHE在心血管疾病诊疗中的应用进展,包括在院前急救、急诊和危重症监护室、心血管专科门诊、病房与介入手术室等不同临床场景中,辅助诊断心血管疾病、指导治疗、评价疗效和预测预后的应用价值;并探讨非超声专科医师使用HHE诊断心血管疾病的可行性和准确性。Compared with standard transthoracic echocardiography equipment,hand-held echocardiography(HHE)has stronger portability and mobility,and is more cost-effective.With technological advancements,HHE now has M-mode,2D grayscale,and color Doppler ultrasound imaging capabilities,allowing for real-time evaluation of cardiac structure and function.It has high accuracy in assessing cardiac chamber size,left ventricular global or regional systolic function,pericardial effusion,qualitative assessment of valve stenosis and regurgitation.In recent years,several studies have explored the value of HHE in assisting disease diagnosis and guiding clinical decisions in different clinical settings.This article reviews the application progress of HHE in the diagnosis and treatment of cardiovascular diseases,including its value in assisting diagnosis,guiding treatment,evaluating efficacy,and predicting prognosis in different clinical settings such as pre-hospital emergency care,emergency and critical care unit,cardiovascular specialist outpatient department,ward and interventional operating room,and explores the feasibility and accuracy of using HHE in the diagnosis of cardiovascular diseases by non-ultrasound specialists.

关 键 词：掌上超声心动图 标准经胸超声心动图 心血管疾病 

分 类 号：R54[医药卫生—心血管疾病]