McCanny Peter, Colreavy Frances
Department of Critical Care Medicine, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland.
Department of Critical Care Medicine, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland; University College Dublin School of Medicine, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland.
J Crit Care. 2017 Jun;39:271-277. doi: 10.1016/j.jcrc.2016.12.008. Epub 2016 Dec 24.
Cardiac tamponade should be considered in a critically ill patient in whom the cause of haemodynamic shock is unclear. When considering tamponade, transthoracic echocardiography plays an essential role and is the initial investigation of choice. Diagnostic sensitivity of transthoracic echocardiography is dependent on image quality, and in some cases a transoesophageal approach may be required to confirm the diagnosis. Knowledge of the pathophysiology and echocardiographic features of cardiac tamponade are essential for the practicing Intensivist. This review presents an approach to the recognition, diagnosis, and treatment of cardiac tamponade in critically ill patients.
对于血流动力学休克病因不明的危重症患者，应考虑心脏压塞。在考虑心脏压塞时，经胸超声心动图起着至关重要的作用，是首选的初步检查方法。经胸超声心动图的诊断敏感性取决于图像质量，在某些情况下可能需要采用经食管途径来确诊。了解心脏压塞的病理生理学和超声心动图特征对于重症监护医生至关重要。本文综述了危重症患者心脏压塞的识别、诊断和治疗方法。
