协和医学杂志

2019, v.10(05) 461-464

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重症超声:血流动力学的推手
Critical Ultrasonography: Hemodynamic Helper

邢志群;王小亭;刘大为;
XING Zhi-qun;WANG Xiao-ting;LIU Da-wei;Department of Critical Care Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences &Peking Union Medical College;

摘要(Abstract):

随着临床研究和基础研究的不断深入,研究者们对重症患者诊疗评价指标的认知不断提高,发展至今,重症患者的治疗已然从群体化、个体化治疗发展到器官化治疗阶段,直接评估器官血流并以器官血流及功能改善为目标的治疗方式越来越多地应用于重症患者临床诊治。重症超声作为重症患者治疗的重要监测和评价方式,在器官化治疗方面发挥着不可替代的作用,不断推动着重症医生对疾病的认知和评价方式。重症超声的应用,革新了人们对全身氧输送的认知,深化了对心肺以及其他重要脏器血流动力学的理解,同时推动了重症患者的临床诊治。如何更好地应用重症超声,精细对器官血流动力学的评价,是重症医生面临的重要问题。本文拟从全身氧输送及器官血流评估两方面,系统阐述重症超声发挥的重要作用及应用方法,以期为临床医生提供借鉴和参考。
Recently, accompanying with more and more clinical and basic researches, our understanding of evaluating indexes of the diagnosis and treatment in critically ill patients has improved and developed. The treatment of critically ill patients has developed from group treatment and individual treatment to organ-based treatment. Treatments that directly evaluate blood flow of organs and aim at improving blood perfusion and function of organs are increasingly applied in critically ill patients. As an important monitoring and evaluating method for critically ill patients,critical ultrasonography plays an irreplaceable role in the treatment of critically ill patients,and constantly promotes physicians' understanding and evaluating diseases in the critical care. The application of critical ultrasonography revolutionized our understanding of systemic oxygen delivery,the heart,lungs,and other vital organs. At the same time,it promoted the clinical diagnosis and treatment of critically ill patients. How to better apply critical ultrasonography and evaluate organ hemodynamics is a very important problem for physicians of critical care. This article intends to systematically elaborate on the important role and application of critical ultrasonography in the assessment of systemic oxygen delivery and blood supply of organs,so as to provide a reference for clinicians.

关键词(KeyWords): 血流动力学;重症超声;器官
hemodynamic;critical ultrasonography;organs

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作者(Author): 邢志群;王小亭;刘大为;
XING Zhi-qun;WANG Xiao-ting;LIU Da-wei;Department of Critical Care Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences &Peking Union Medical College;

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