电阻抗断层成像在急性呼吸窘迫综合征患者诊疗中的应用  

Application of electrical impedance tomography in the diagnosis and treatment of acute respiratory distress syndrome

作　　者：刘博 宁雅婵[1] 张潇然 王春梅[1] LIU Bo;NING Yachan;ZHANG Xiaoran;WANG Chunmei(Department of Critical Care Medicine,Xuanwu Hospital,Capital Medical University,Beijing 100053;Department of Emergency Medicine,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学宣武医院重症医学科,北京100053 [2]首都医科大学附属友谊医院急诊科,北京100050

出　　处：《基础医学与临床》2024年第11期1487-1491,共5页Basic and Clinical Medicine

基　　金：北京市重大疫情防治重点专科项目(京卫医〔2021〕135号);国家临床重点专科建设项目(国卫办医函〔2021〕451号)。

摘　　要：电阻抗断层成像是上世纪末发展起来的一门新兴成像技术,具有无创性、无辐射性、灵活性、低成本、操作简单等突出优势。本文主要阐述了电阻抗断层成像基本原理、发展以及在急性呼吸窘迫综合征患者中的应用。针对急性呼吸窘迫综合征患者的诊断、临床治疗决策、通气监测以及其临床应用的局限性进行阐述。对EIT未来发展提出建议,包括开展更多临床研究、改进技术精度和降低成本、加强医护人员培训等。Electrical impedance tomography(EIT)is an emerging imaging technology developed at the end of the last century,which has outstanding advantages such as non-invasiveness,non-radiation,smart,low cost and easy operation.This article reviews the development,principles and clinical application of electrical impedance tomography in diagnosis,decision-making of clinical management of acute respiratory distress syndrome.The article also provides suggestions for the future development of EIT in terms of more clinical research,improving technical accuracy,cost/effectiveness and training of staff.

关 键 词：电阻抗断层成像 急性呼吸窘迫综合征 呼气末正压 俯卧位 

分 类 号：R563[医药卫生—呼吸系统]