Gong Shiyi, Ding Xin, Wang Xiaoting
Department of Critical Care Medicine, Peking Union Medical College Hospital, Beijing 100730, China.
J Clin Med. 2024 Jan 26;13(3):722. doi: 10.3390/jcm13030722.
Pulmonary circulation is crucial in the human circulatory system, facilitating the oxygenation of blood as it moves from the right heart to the lungs and then to the left heart. However, during critical illness, pulmonary microcirculation can be vulnerable to both intrapulmonary and extrapulmonary injuries. To assess these potential injuries in critically ill patients, critical point-of-care ultrasound can be used to quantitatively and qualitatively evaluate the right atrium, right ventricle, pulmonary artery, lung, pulmonary vein, and left atrium along the direction of blood flow. This assessment is particularly valuable for common ICU diseases such as acute respiratory distress syndrome (ARDS), sepsis, pulmonary hypertension, and cardiogenic pulmonary edema. It has significant potential for diagnosing and treating these conditions in critical care medicine.
肺循环在人体循环系统中至关重要,当血液从右心流向肺部再到左心时,它促进血液的氧合。然而,在危重病期间,肺微循环容易受到肺内和肺外损伤的影响。为了评估危重病患者的这些潜在损伤,床旁危急值超声可用于沿血流方向对右心房、右心室、肺动脉、肺、肺静脉和左心房进行定量和定性评估。这种评估对于急性呼吸窘迫综合征(ARDS)、脓毒症、肺动脉高压和心源性肺水肿等常见ICU疾病特别有价值。它在危重症医学中对这些病症的诊断和治疗具有巨大潜力。