超声心动图在手术室危机事件中的应用  

Application of echocardiography in operating room crisis

作　　者：王冰一 尹昕睿 陈子天 韩侨宇[1] 冯艺[1] 姜陆洋[1] WANG Bingyi;YIN Xinrui;CHEN Zitian;HAN Qiaoyu;FENG Yi;JIANG Luyang(Department of Anesthesiology,Peking University People's Hostital,Beijing 100044,China)

机构地区：[1]北京大学人民医院麻醉科,100044

出　　处：《临床麻醉学杂志》2025年第4期427-431,共5页Journal of Clinical Anesthesiology

基　　金：北京大学人民医院研究与发展基金临床研究培育项目(RDL2024-11)。

摘　　要：手术室危机事件包括肺栓塞、心肌缺血、心搏骤停、休克、心脏压塞等,主要的急救措施通常包括心肺复苏、体外膜肺氧合、心脏辅助装置置入等。超声心动图作为一种无创且可实时监测的工具,可快速评估心脏的结构和功能,帮助提供诊断信息,在紧急情况下迅速识别潜在的心血管异常,为临床决策提供关键依据,用于动态监测治疗反应,指导容量复苏、血流动力学管理和循环支持策略,提高救治成功率。本文描述了超声心动图在手术室危机事件的诊断和/或排除以及急救过程中的指导作用,旨在提高手术室内危机事件的应对效率和患者的生存率。Operating room crises include pulmonary embolism,myocardial ischemia,cardiac arrest,shock,and cardiac tamponade.Emergency measures include cardiopulmonary resuscitation,extracorporeal membrane oxygenation,and cardiac assist device insertion.As a non-invasive and real-time monitoring tool,echocardiography can rapidly assess the structure and function of the heart,providing valuable diagnostic information and enabling the prompt identification of potential cardiovascular abnormalities in emergency situations,offering critical evidence for clinical decision-making.It is used for the dynamic monitoring of treatment responses,guiding volume resuscitation,hemodynamic management,and circulatory support strategies,thereby improving the success rate of rescue efforts.This article discusses the use of echocardiography in diagnosing and/or ruling out operating room crisis events and guiding the implementation of emergency measures in the operating room.This emphasizes the importance of echocardiography in the operating room,aiming to improve the efficiency of handling operating room crisis events and increase patient survival rates.

关 键 词：超声心动图 手术室 危机干预 急诊处理 血流动力学 

分 类 号：R445.1[医药卫生—影像医学与核医学]