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床旁超声心动图在儿科重症监护中的作用:一项批判性评估。

The Role of Focused Echocardiography in Pediatric Intensive Care: A Critical Appraisal.

作者信息

Gaspar Heloisa Amaral, Morhy Samira Saady

机构信息

Pediatric Intensive Care Unit, Albert Einstein Hospital, Rua do Carreiro de Pedra 111, Apartamento 152 C, 04728-020 São Paulo, SP, Brazil.

Echocardiography Department, Albert Einstein Hospital, Rua Pintassilgo 458, Apartamento 53, 04514-032 São Paulo, SP, Brazil.

出版信息

Biomed Res Int. 2015;2015:596451. doi: 10.1155/2015/596451. Epub 2015 Oct 28.

Abstract

Echocardiography is a key tool for hemodynamic assessment in Intensive Care Units (ICU). Focused echocardiography performed by nonspecialist physicians has a limited scope, and the most relevant parameters assessed by focused echocardiography in Pediatric ICU are left ventricular systolic function, fluid responsiveness, cardiac tamponade and pulmonary hypertension. Proper ability building of pediatric emergency care physicians and intensivists to perform focused echocardiography is feasible and provides improved care of severely ill children and thus should be encouraged.

摘要

超声心动图是重症监护病房(ICU)血流动力学评估的关键工具。由非专科医生进行的床旁超声心动图检查范围有限,小儿重症监护病房中通过床旁超声心动图评估的最相关参数是左心室收缩功能、液体反应性、心包填塞和肺动脉高压。对儿科急救医生和重症监护医生进行床旁超声心动图检查的适当能力培养是可行的,并且能改善对重症患儿的护理,因此应予以鼓励。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b948/4641179/5b1a5913d0a0/BMRI2015-596451.001.jpg

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