Cosyns Bernard, Roossens Bram, Hernot Sophie, El Haddad Philippe, Lignian Herve, Pierard Luc, Lancellotti Patrizio
UZ Brussel, Cardiology, Free University of Brussels, Belgium.
Curr Cardiol Rev. 2011 Aug;7(3):157-62. doi: 10.2174/157340311798220467.
Bedside echocardiography in emergency room (ER) or in intensive care unit (ICU) is an important tool for managing critically ill patients, to obtain a timely accurate diagnosis and to immediately stratify the risk to the patient's life. It may also render invasive monitoring unnecessary. In these patients, contrast echocardiography may improve quality of imaging and also may provide additional information, especially regarding myocardial perfusion in those with suspected coronary artery disease. This article focuses on the principle of contrast echocardiography and the clinical information that can be obtained according to the most frequent presentations in ER and ICU.
急诊室(ER)或重症监护病房(ICU)中的床旁超声心动图是管理危重症患者的重要工具,有助于及时准确地做出诊断,并立即对患者的生命风险进行分层。它还可能使侵入性监测变得不必要。对于这些患者,超声造影可提高成像质量,还可能提供额外信息,尤其是对于疑似冠心病患者的心肌灌注情况。本文重点介绍超声造影的原理以及根据急诊室和重症监护病房中最常见的表现所能获得的临床信息。