急性充血性肝病，通过床旁肝脏超声在接受体外膜肺氧合治疗的患者中得以诊断。
Acute Congestive Hepatopathy, Diagnosed With Point-of-Care Hepatic Ultrasound in a Patient on Extracorporeal Membrane Oxygenation.
作者信息
Carness Jeffrey M, Wright Zachary L, Formanek Arthur R
机构信息
Department of Anesthesiology and Pain Medicine, Naval Medical Center, San Diego, California.
Uniformed Services University of the Health Sciences, Bethesda, Maryland.
出版信息
CASE (Phila). 2023 Mar 1;7(5):175-180. doi: 10.1016/j.case.2022.12.012. eCollection 2023 May.
• Ultrasound is a valuable tool for interrogating cannula position in ECMO patients. • RV dysfunction is common in patients with COVID-19 ARDS. • Consider insidious RV dysfunction when changing central ECMO flow rates. • Direct hepatic venous spectral Doppler evaluation may help to optimize ECMO settings. • Ultrasound may be helpful in diagnosing congestive hepatopathy in central ECMO.
• 超声是检查体外膜肺氧合（ECMO）患者插管位置的重要工具。
• 右心室功能障碍在新型冠状病毒肺炎急性呼吸窘迫综合征（COVID-19 ARDS）患者中很常见。
• 改变中心ECMO流速时要考虑隐匿性右心室功能障碍。
• 直接肝静脉频谱多普勒评估可能有助于优化ECMO设置。
• 超声可能有助于诊断中心ECMO中的充血性肝病。
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