Department of Internal Medicine and Gastroenterology, Independent Public Health Care Facility of the Ministry of the Internal Affairs with the Oncology Centre in Olsztyn, Olsztyn, Poland.
Department of Internal Medicine, Connective Tissue Diseases and Geriatrics, Medical University of Gdańsk, Gdańsk, Poland
Pol Arch Intern Med. 2019 Oct 30;129(10):692-699. doi: 10.20452/pamw.14962. Epub 2019 Sep 3.
The assessment of a patient's body fluid status is a challenging task for modern clinicians. Ultrasonography has numerous advantages, the most important being reproducibility and bedside monitoring of the patient. The examination is quick and has a significant diagnostic value. We reviewed the literature to assess the possibility of using ultrasound methods for evaluating body fluid status. The search of PubMed and Medline databases was performed up to February 2019. Data from published reports and clinical observations show that the quick and noninvasive ultrasound examination facilitates the assessment of intravascular volume status and that the results correlate with other modalities, including invasive methods. Ultrasound enables physicians to determine the baseline status of hydration and to monitor the patient during fluid therapy. Additionally, it allows an assessment of asymptomatic patients, patients who are well adapted to chronic oxygen deficiency, and those who develop pulmonary congestion secondary to congestive heart failure or chronic kidney disease. The development of a protocol for an ultrasound assessment of the volume status would significantly facilitate the everyday practice of internal medicine specialists.
评估患者的体液状态是现代临床医生面临的一项挑战。超声检查具有许多优点，最重要的是具有可重复性和对患者的床边监测。该检查快速且具有重要的诊断价值。我们查阅了文献，以评估使用超声方法评估体液状态的可能性。对 PubMed 和 Medline 数据库的搜索截至 2019 年 2 月。来自已发表报告和临床观察的数据表明，快速、无创的超声检查有助于评估血管内容量状态，并且结果与包括有创方法在内的其他方法相关。超声使医生能够确定水合作用的基线状态，并在液体治疗过程中监测患者。此外，它还可以评估无症状患者、对慢性缺氧适应良好的患者以及因充血性心力衰竭或慢性肾病而发生肺充血的患者。制定超声评估容量状态的方案将极大地促进内科专家的日常实践。
