血流动力学支持的演变概念：从肺动脉导管到超声心动图与治疗诊断学。
The evolving concepts of haemodynamic support: from pulmonary artery catheter to echocardiography and theragnostics.
作者信息
Figueiredo Antonio, Germano Nuno, Guedes Pedro, Marcelino Paulo
机构信息
CEDOC, Faculty of Medical Sciences, Lisbon, Portugal.
出版信息
Curr Cardiol Rev. 2011 Aug;7(3):136-45. doi: 10.2174/157340311798220458.
Echocardiography is a non-invasive tool, aimed towards the anatomical and functional characterization of the heart. In Intensive Care it is considered nowadays as a necessary tool for patient evaluation. However, the information obtained using echocardiography is not the same as provided by other means, namely the invasive ones. In recent years there has been a significant evolution in the general concepts of haemodynamic support for the critically ill patient. In this new environment, echocardiography has gained particular relevance. In this text the new positioning of echocardiography in the light of the new concepts for hemodynamic support is described, as well as, the need for a specific formative program directed towards Intensive Care physicians. A new generation of biomarkers can also add relevant information and start a new era in haemodynamic support. They may help to further characterize the disease process, identifying patients at risk, as well as, characterize specific organ failure as well as monitoring therapy.
超声心动图是一种非侵入性工具，旨在对心脏进行解剖学和功能特征描述。在重症监护领域，如今它被视为评估患者的必要工具。然而，通过超声心动图获得的信息与其他手段（即侵入性手段）所提供的信息不同。近年来，危重症患者血流动力学支持的总体概念有了重大发展。在这种新环境下，超声心动图具有了特殊的相关性。本文描述了超声心动图根据血流动力学支持的新概念所进行的新定位，以及针对重症监护医生开展特定培训项目的必要性。新一代生物标志物也可以提供相关信息，并开启血流动力学支持的新时代。它们可能有助于进一步描述疾病过程，识别高危患者，以及描述特定器官功能衰竭并监测治疗。
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