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危重症患者床旁超声心动图:真正的血流动力学监测工具。

Bedside echocardiography in critically ill patients: a true hemodynamic monitoring tool.

机构信息

Intensive Care Unit, Section Thorax-Vascular Diseases-Abdomen-Metabolism, Hôpital Ambroise Paré, AP-HP, University Hospital Ambroise Paré, Boulogne, France.

出版信息

J Clin Monit Comput. 2012 Oct;26(5):355-60. doi: 10.1007/s10877-012-9385-6. Epub 2012 Jul 27.

Abstract

Echocardiography is a versatile, accurate and noninvasive tool suited to examination of shocked patients. Since the 1980s, intensive care practitioners have used ultrasound widely for hemodynamic evaluation and for cardiac anatomy visualization. This article will describe transthoracic and transesophageal echocardiography, their scope, and the classic windows needed to interpret the examination properly. We will also report the main indications of echocardiography and the corresponding parameters. Finally, we will indicate educational programs and define minimum training that enable self-sufficiency.

摘要

超声心动图是一种多功能、准确且无创的工具,适用于休克患者的检查。自 20 世纪 80 年代以来,重症监护医生广泛使用超声进行血流动力学评估和心脏解剖可视化。本文将描述经胸超声心动图和经食管超声心动图及其范围,以及正确解释检查所需的经典窗口。我们还将报告超声心动图的主要适应证和相应参数。最后,我们将指出能够实现自给自足的教育计划和最低培训要求。

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