超声医师与重症医师联合急会诊模式对急性呼吸循环衰竭患者的诊疗研究  

Diagnosis and Treatment of Acute Respiratory and Circulating Failure Patients by the Combination of Sonographer and Critical Physician in Emergency Consultation Mode

作　　者：赵浩天[1] 任珊[2] 刘奕 龙玲[2] 赵鹤龄[2] Zhao Haotian;Ren Shan;Liu Yi;Long Ling;Zhao Heling(Department of Ultrasound,Hebei General Hospital,Shijiazhuang 050000,China;Department of Intensive Care Unit,Hebei General Hospital,Shijiazhuang 050000,China)

机构地区：[1]河北省人民医院超声科,石家庄市050000 [2]河北省人民医院重症医学科,石家庄市050000

出　　处：《中国超声医学杂志》2024年第3期257-260,共4页Chinese Journal of Ultrasound in Medicine

基　　金：河北省医学科学研究计划项目(No.20211264、20211228)。

摘　　要：目的 探究超声医师与重症医学科医师联合急会诊模式对急性呼吸循环衰竭患者的诊疗价值。方法 将120例接受急会诊的急性呼吸衰竭和(或)循环衰竭(休克)患者随机分为实验组(超声医师+重症医师)和对照组(单独重症医师)各60例。实验组经超声医师检查心脏(结构、功能、心输出量等指标)、下腔静脉和肺,协助重症医师诊断,对照组采用重症医师传统会诊方式。记录转入重症医学科例数并随访转入重症医学科后诊疗过程、并发症和预后等资料。结果 实验组37例、对照组42例转入重症医学科。实验组转入重症医学科后48 h液体入量、48 h液体平衡量、7 d内肺水肿发生、容量过负荷发生比例均低于对照组(P<0.05);实验组对休克正确诊断比例高于对照组(P<0.05)。结论 超声医师与重症医师联合急会诊模式对休克诊断和并发症预防具有一定应用价值。Objective To explore the diagnostic and treatment value of acute respiratory and circulating failure patients by the combination of sonographer and critical physician in emergency consultation mode.Methods 120 patients with acute respiratory failure and(or) circulatory failure(shock) were randomly divided into the experimental group(sonographer combined with critical physician) and the control group(only critical physician),with 60 cases in each group.The heart(structure,function,cardiac output,etc.),inferior vena cava(IVC) and lung were examined by sonographer in the experimental group to assist the critical physician in diagnosis.The traditional consultation mode of critical physician was used in the control group.Record the number of cases transferred to the intensive care unit(ICU) and follow up the diagnosis and treatment process,complications,prognosis and other data after admission to the ICU.Results 37 cases in the experimental group and 42 cases in the control group were transferred to the ICU.In the experimental group,the fluid intake at 48 hours,the fluid balance at 48 hours,the incidence of pulmonary edema within 7 days,and the proportion of volume overload were lower than those in the control group(P<0.05);The proportion of correct diagnosis of shock in the experimental group was higher than that in the control group(P<0.05).Conclusions The mode of combined emergency consultation of sonographer and critical physician has application value in the diagnosis of shock and the prevention of complications.

关 键 词：肺超声 呼吸衰竭 心功能 重症 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R563.8[医药卫生—诊断学]