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电阻抗断层成像在一名术后高危肺栓塞患者管理中的作用

The Role of Electrical Impedance Tomography for Management of High-Risk Pulmonary Embolism in a Postoperative Patient.

作者信息

Wang Xinchen, Zhao Hua, Cui Na

机构信息

Department of Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China.

出版信息

Front Med (Lausanne). 2021 Nov 19;8:773471. doi: 10.3389/fmed.2021.773471. eCollection 2021.

DOI:10.3389/fmed.2021.773471
PMID:34869492
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8639861/
Abstract

Electrical impedance tomography (EIT) is a non-invasive, radiation-free and bedside imaging tool that is widely used for real-time monitoring of lung ventilation. Recently, it has been proposed for use in quantitative assessment of regional lung perfusion with hypertonic saline bolus injection and consequently for pulmonary embolism (PE) detection. Here, we present a case of high-risk PE in a postoperative patient, in which EIT monitoring provided us with useful information for diagnosis and decision-making, especially with the challenge of anticoagulation and risk of bleeding.

摘要

电阻抗断层成像(EIT)是一种无创、无辐射且可在床边使用的成像工具,广泛用于实时监测肺通气。最近,有人提出将其用于通过注射高渗盐水团注对局部肺灌注进行定量评估,进而用于检测肺栓塞(PE)。在此,我们报告一例术后高危PE患者,其中EIT监测为我们的诊断和决策提供了有用信息,尤其是在抗凝挑战和出血风险方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36c8/8639861/bd54221c53ec/fmed-08-773471-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36c8/8639861/c6bb7c3dfaa3/fmed-08-773471-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36c8/8639861/94278e746041/fmed-08-773471-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36c8/8639861/6f9c9742d3c0/fmed-08-773471-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36c8/8639861/bd54221c53ec/fmed-08-773471-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36c8/8639861/c6bb7c3dfaa3/fmed-08-773471-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36c8/8639861/94278e746041/fmed-08-773471-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36c8/8639861/6f9c9742d3c0/fmed-08-773471-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36c8/8639861/bd54221c53ec/fmed-08-773471-g0004.jpg

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Ann Intensive Care. 2021 Aug 28;11(1):134. doi: 10.1186/s13613-021-00921-6.
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Bedside Evaluation of Pulmonary Embolism by Saline Contrast Electrical Impedance Tomography Method: A Prospective Observational Study.盐水对比电阻抗断层成像法对肺栓塞的床旁评估:一项前瞻性观察研究。
Am J Respir Crit Care Med. 2020 Nov 15;202(10):1464-1468. doi: 10.1164/rccm.202005-1780LE.
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用于医学应用的电阻抗断层成像和肌成像的过去、现在与未来:一项范围综述
Front Bioeng Biotechnol. 2024 Dec 11;12:1486789. doi: 10.3389/fbioe.2024.1486789. eCollection 2024.
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Technical Principles and Clinical Applications of Electrical Impedance Tomography in Pulmonary Monitoring.电阻抗断层成像技术在肺部监测中的技术原理及临床应用
Sensors (Basel). 2024 Jul 13;24(14):4539. doi: 10.3390/s24144539.
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[Research progress on electrical impedance tomography in pulmonary perfusion].[电阻抗断层成像技术在肺灌注方面的研究进展]
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