Poelaert Jan
Department of Anesthesiology and Perioperative Medicine, Flemish University Hospital, Laarbeeklaan 101, 81090 Brussels, Belgium.
Best Pract Res Clin Anaesthesiol. 2009 Sep;23(3):249-61. doi: 10.1016/j.bpa.2009.02.010.
Echography has developed as an indispensable tool in diagnosis and subsequent therapy in the critically ill. Although pulmonary and abdominal ultrasounds play a major role in their management, this article will discuss the advantages and indications of echocardiography in the intensive care unit (ICU). The assessment of morphological abnormalities, left or right ventricular malfunction, pulmonary arterial hypertension and valvular dysfunctions is a routine indication of echocardiography. Actually, besides contractility, several preload and even afterload indicators can also be assessed. In short, this bedside tool rapidly provides insight in the haemodynamics without invasive pressure estimations.
超声检查已发展成为危重症诊断及后续治疗中不可或缺的工具。尽管肺部和腹部超声在其管理中发挥着重要作用，但本文将讨论重症监护病房（ICU）中超声心动图的优势和适应证。对形态学异常、左心室或右心室功能障碍、肺动脉高压和瓣膜功能障碍的评估是超声心动图的常规适应证。实际上，除了收缩性之外，还可以评估几个前负荷甚至后负荷指标。简而言之，这种床边工具无需有创压力估计就能快速洞察血流动力学情况。
