重症超声在重症相关操作中应用专家共识  

Expert consensus on the application of critical care ultrasonography in invasive procedures

作　　者：张青 刘丽霞[2] 霍焱[2] 张宏民 晁彦公 曾琴兵 司向[4] 岑仲然[5] 朱然[6] 尚秀玲[7] 尹万红[8] 段军[9] 张丽娜[10] 刘志勇[10] 朱英[11] 何伟[12] 武钧[13] 蔡书翰[14] 陈文劲[15] 吕立文[16] 任宏[17] 张建[17] 许强宏[18] 朱炜华[19] 孙建华 刘海涛[20] 艾山木 张萌[22] 鲁梅珊 王小亭 Zhang Qing;Liu Lixia;Huo Yan;Zhang Hongmin;Chao Yangong;Zeng Qinbing;Si Xiang;Cen Zhongran;Zhu Ran;Shang Xiuling;Yin Wanhong;Duan Jun;Zhang Lina;Liu Zhiyong;Zhu Ying;He Wei;Wu Jun;Cai Shuhan;Chen Wenjin;Lyu Liwen;Ren Hong;Zhang Jian;Xu Qianghong;Zhu Weihua;Sun Jianhua;Liu Haitao;Ai Shanmu;Zhang Meng;Lu Meishan;Wang Xiaoting(Department of Critical Care Medicine,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Critical Care Medicine,the Fourth Hospital of Hebei Medical University,Shijiazhuang 050010,China;Department of Critical Care Medicine,the First Affiliated Hospital of Tsinghua University,Beijing 100016,China;Department of Critical Care Medicine,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 361003,China;Department of Critical Care Medicine,Zhujiang Hospital,Southern Medical University,Guangzhou 510260,China;Department of Critical Care Medicine,the First Hospital of China Medical University,Shenyang 110001,China;Department of Critical Care Medicine,Fujian Provincial Hospital,Fuzhou 350001,China;Department of Critical Care Medicine,West China Hospital,Sichuan University,Chengdu 610041,China;Department of Critical Care Medicine,China-Japan Friendship Hospital,Beijing 100029,China;Department of Critical Care Medicine,Xiangya Hospital of Central South University,Changsha 410008,China;Department of Critical Care Medicine,Hangzhou First People′s Hospital,Hangzhou 310020,China;Department of Critical Care Medicine,Beijing Tongren Hospital,Capital Medical University,Beijing 100176,China;Department of Critical Care Medicine,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Department of Critical Care Medicine,Central South Hospital of Wuhan University,Wuhan 430071,China;Department of Neurosurgical ICU,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Emergency,Guangxi Zhuang Autonomous Region People′s Hospital,Nanning 530016,China;Department of C

机构地区：[1]中国医学科学院、北京协和医学院、北京协和医院重症医学科,北京100730 [2]河北医科大学第四医院重症医学科,石家庄050010 [3]清华大学第一附属医院重症医学科,北京100016 [4]中山大学附属第一医院重症医学科,广州361003 [5]南方医科大学珠江医院重症医学科,广州510260 [6]中国医科大学附属第一医院重症医学科,沈阳110001 [7]福建省立医院重症医学科,福州350001 [8]四川大学华西医院重症医学科,成都610041 [9]中日友好医院重症医学科,北京100029 [10]中南大学湘雅医院重症医学科,长沙410008 [11]杭州市第一人民医院重症医学科,杭州310020 [12]首都医科大学附属北京同仁医院重症医学科,北京100176 [13]上海交通大学医学院附属瑞金医院重症医学科,上海200025 [14]武汉大学中南医院重症医学科,武汉430071 [15]首都医科大学宣武医院神经外科ICU,北京100053 [16]广西壮族自治区人民医院急诊科,南宁530016 [17]上海交通大学医学院附属上海儿童医学中心重症医学科,上海200127 [18]浙江医院重症医学科,杭州310013 [19]昆明医科大学第二附属医院重症医学科,昆明650101 [20]哈尔滨医科大学第三医院重症医学科,哈尔滨150040 [21]重庆市急救医疗中心、重庆大学附属中心医院急诊部,重庆400014 [22]重庆市人民医院、重庆大学附属人民医院重症医学科,重庆401121

出　　处：《中华内科杂志》2024年第5期439-461,共23页Chinese Journal of Internal Medicine

摘　　要：重症医学的发展伴随着重症相关操作,重症相关操作亦使重症医学得到更深入的发展。通过相关操作可使临床医生了解重症患者的病理生理学,重症相关操作在重症相关诊断、治疗中均起到积极的作用。但重症相关操作带来医源性损伤不容忽视,有些操作会产生严重的后果。随着近年来重症超声在重症医学科的快速发展,重症超声有其独特的优势,具有无创、床旁、可视化、无辐射、可重复、易学等优点,已在临床广泛应用。为更好地规范重症相关操作,北京重症超声研究会重症超声研究组组织了重症相关专家撰写本共识,旨在提高临床医护工作者重症相关操作水平,减少相关并发症。The evolution of critical care medicine is inextricably linked to the development of critical care procedures.These procedures not only facilitate diagnosis and treatment of critically ill patients,but also provide valuable insights into disease pathophysiology.While critical care interventions offer undeniable benefits,the potential for iatrogenic complications necessitates careful consideration.The recent surge in critical care ultrasound(US)utilization is a testament to its unique advantages:non-invasiveness,real-time bedside availability,direct visualization of internal structures,elimination of ionizing radiation exposure,repeatability,and relative ease of learning.Recognizing the need to optimize procedures and minimize complications,critical care utrasound study group of Beijing critical care ultrasound research assocition convened a panel of critical care experts to generate this consensus statement.This document serves as a guide for healthcare providers,aiming to ensure patient safety and best practices in critical care.

关 键 词：重症医学 重症超声 重症相关操作 共识 

分 类 号：R47[医药卫生—护理学]