切换至 "中华医学电子期刊资源库"

中华诊断学电子杂志 ›› 2018, Vol. 06 ›› Issue (02) : 101 -103. doi: 10.3877/cma.j.issn.2095-655X.2018.02.009

所属专题: 文献

超声诊断

重症超声在急性呼吸窘迫综合征检查中的应用
郭凤梅1, 邱海波1, 杨毅1,()   
  1. 1. 210009 南京,东南大学附属中大医院重症医学科
  • 收稿日期:2018-03-02 出版日期:2018-05-26
  • 通信作者: 杨毅

Application of critical ultrasound in acute respiratory distress syndrome

Fengmei Guo1, Haibo Qiu1, Yi Yang1,()   

  1. 1. Department of Intensive Care Unit, Nanjing Zhongda Hospital Affiliated to Southeastern University School of Medicine, Nanjing 210009, China
  • Received:2018-03-02 Published:2018-05-26
  • Corresponding author: Yi Yang
  • About author:
    Corresponding author: Yang Yi, Email:
引用本文:

郭凤梅, 邱海波, 杨毅. 重症超声在急性呼吸窘迫综合征检查中的应用[J/OL]. 中华诊断学电子杂志, 2018, 06(02): 101-103.

Fengmei Guo, Haibo Qiu, Yi Yang. Application of critical ultrasound in acute respiratory distress syndrome[J/OL]. Chinese Journal of Diagnostics(Electronic Edition), 2018, 06(02): 101-103.

急性呼吸窘迫综合征是临床常见的危重症。近年来,重症超声已成为急性呼吸窘迫综合征诊疗评估中重要的可视化检查手段。以肺部、心脏和膈肌超声为核心的重症超声整合应用,为急性呼吸窘迫综合征的早期诊断、病情评估、治疗策略优化及呼吸机撤离提供科学、及时、准确的指导。

Acute respiratory distress syndrome (ARDS) is a common clinical critical disease. In recent years, ultrasound has become an important visualized examination method for ARDS diagnosis and treatment. The integrated application of critical ultrasound based on lung, heart and diaphragm provides scientific and timely guidance for the early diagnosis, disease evaluation, therapeutic regimen optimization and ventilator evacuation of ARDS.

[1]
Osman D,Monnet X,Castelain V,et al.Incidence and prognostic value of right ventricular failure in acute respiratory distress syndrome[J].Intensive Care Med,2009,35(1):69-76.
[2]
Ashton-Cleary DT. Is thoracic ultrasound a viable alternative to conventional imaging in the critical care setting?[J].Br J Anaesth,2013,111(2):152-160.
[3]
Lichtenstein D,Mézière G,Biderman P,et al.The comet-tail artifact.An ultrasound sign of alveolar-interstitial syndrome[J].Am J Respir Crit Care Med,1997,156(5):1640-1646.
[4]
Kuzkov VV,Suborov EV,Kirov MY,et al.Radiographic lung density assessed by computed tomography is associated with extravascular lung water content[J].Acta Anaesthesiol Scand,2010,54(8):1018-1026.
[5]
Sakka SG,Rühl CC,Pfeiffer UJ,et al.Assessment of cardiac preload and extravascular lung water by single transpulmonary thermodilution[J].Intensive Care Med,2000,26(2):180-187.
[6]
Baldi G,Gargani L,Abramo A,et al.Lung water assessment by lung ultrasonography in intensive care:a pilot study[J].Intensive Care Med,2013,39(1):74-84.
[7]
Bilotta F,Giudici LD,Zeppa IO,et al.Ultrasound imaging and use of b-lines for functional lung evaluation in neurocritical care:a prospective,observational study[J].Eur J Anaesthesiol,2013,30(8):464-468.
[8]
Du J,Tan J,Yu K,et al.Lung recruitment maneuvers using direct ultrasound guidance:a case study[J].Respir Care,2015,60(5):e93-e96.
[9]
Tusman G,Acosta CM,Nicola M,et al.Real-time images of tidal recruitment using lung ultrasound[J].Crit Ultrasound J,2015,7(1):19.
[10]
Mekontso Dessap A,Boissier F,Charron C,et al.Acute cor pulmonale during protective ventilation for acute respiratory distress syndrome:prevalence,predictors,and clinical impact[J].Intensive Care Med,2016,42(5):862-870.
[11]
Vieillard-Baron A,Schmitt JM,Augarde R,et al.Acute cor pulmonale in acute respiratory distress syndrome submitted to protective ventilation.Incidence,clinical implications,and prognosis[J].Crit Care Med,2001,29(8):1551-1555.
[12]
Jardin F,Vieillard-Baron A.Is there a safe plateau pressure in ARDS? The right heart only knows[J].Intensive Care Med,2007,33(3):444-447.
[13]
Mekontso Dessap A,Charron C,Devaquet J,et al.Impact of acute hypercapnia and augmented positive end-expiratory pressure on right ventricle function in severe acute respiratory distress syndrome[J].Intensive Care Med,2009,35(11):1850-1858.
[14]
Jozwiak M,Teboul JL,Anguel N,et al.Beneficial hemodynamic effects of prone positioning in patients with acute respiratory distress syndrome[J].Am J Respir Crit Care Med,2013,188(12):1428-1433.
[15]
Vieillard-Baron A,Charron C, Caille V, et al. Prone positioning unloads the right ventricle in severe ARDS[J].Chest,2007,132(5):1440-1446.
[16]
Au SM,Vieillard-Baron A.Bedside echocardiography in critically ill patients:a true hemodynamic monitoring tool[J].J Clin Monit Comput,2012,26(5):355-360.
[17]
Michard F,Teboul JL.Using heart-lung interactions to assess fluid responsiveness during mechanical ventilation[J].Crit Care,2000,4(5):282-289.
[18]
Pinsky MR,Teboul JL.Assessment of indices of preload and volume responsiveness[J].Curr Opin Crit Care,2005,11(3):235-239.
[19]
Lamia B,Maizel J,Ochagavia A,et al.Echocardiographic diagnosis of pulmonary artery occlusion pressure elevation during weaning from mechanical ventilation[J].Crit Care Med,2009,37(5):1696-1701.
[20]
Caille V,Amiel JB,Charron C,et al.Echocardiography.a help in the weaning process[J].Crit Care,2010,14(3):120.
[21]
Matamis D,Soilemezi E,Tsagourias M,et al.Sonographic evaluation of the diaphragm in critically ill patients.Technique and clinical applications[J].Intensive Care Med,2013,39(5):801-810.
[22]
Umbrello M,Formenti P,Longhi D,et al.Diaphragm ultrasound as indicator of respiratory effort in critically ill patients undergoing assisted mechanical ventilation:a pilot clinical study[J].Crit Care,2015(19):161.
[1] 章建全, 程杰, 陈红琼, 闫磊. 采用ACR-TIRADS评估甲状腺消融区的调查研究[J/OL]. 中华医学超声杂志(电子版), 2024, 21(10): 966-971.
[2] 罗辉, 方晔. 品管圈在提高甲状腺结节细针穿刺检出率中的应用[J/OL]. 中华医学超声杂志(电子版), 2024, 21(10): 972-977.
[3] 杨忠, 时敬业, 邓学东, 姜纬, 殷林亮, 潘琦, 梁泓, 马建芳, 王珍奇, 张俊, 董姗姗. 产前超声在胎儿22q11.2 微缺失综合征中的应用价值[J/OL]. 中华医学超声杂志(电子版), 2024, 21(09): 852-858.
[4] 孙佳丽, 金琳, 沈崔琴, 陈晴晴, 林艳萍, 李朝军, 徐栋. 机器人辅助超声引导下经皮穿刺的体外实验研究[J/OL]. 中华医学超声杂志(电子版), 2024, 21(09): 884-889.
[5] 史学兵, 谢迎东, 谢霓, 徐超丽, 杨斌, 孙帼. 声辐射力弹性成像对不可切除肝细胞癌门静脉癌栓患者放射治疗效果的评价[J/OL]. 中华医学超声杂志(电子版), 2024, 21(08): 778-784.
[6] 李洋, 蔡金玉, 党晓智, 常婉英, 巨艳, 高毅, 宋宏萍. 基于深度学习的乳腺超声应变弹性图像生成模型的应用研究[J/OL]. 中华医学超声杂志(电子版), 2024, 21(06): 563-570.
[7] 洪玮, 叶细容, 刘枝红, 杨银凤, 吕志红. 超声影像组学联合临床病理特征预测乳腺癌新辅助化疗完全病理缓解的价值[J/OL]. 中华医学超声杂志(电子版), 2024, 21(06): 571-579.
[8] 项文静, 徐燕, 茹彤, 郑明明, 顾燕, 戴晨燕, 朱湘玉, 严陈晨. 神经学超声检查在产前诊断胼胝体异常中的应用价值[J/OL]. 中华医学超声杂志(电子版), 2024, 21(05): 470-476.
[9] 胡可, 鲁蓉. 基于多参数超声特征的中老年女性压力性尿失禁诊断模型研究[J/OL]. 中华医学超声杂志(电子版), 2024, 21(05): 477-483.
[10] 张妍, 原韶玲, 史泽洪, 郭馨阳, 牛菁华. 小肾肿瘤超声漏诊原因分析新思路[J/OL]. 中华医学超声杂志(电子版), 2024, 21(05): 500-504.
[11] 席芬, 张培培, 孝梦甦, 刘真真, 张一休, 张璟, 朱庆莉, 孟华. 乳腺错构瘤的临床与超声影像学特征分析[J/OL]. 中华医学超声杂志(电子版), 2024, 21(05): 505-510.
[12] 侯中光, 詹韵韵, 毕玉, 王佳佳, 吴瑕璧, 彭梅. 三维反转成像技术在BI-RADS 4类乳腺肿块应用中的初步研究[J/OL]. 中华医学超声杂志(电子版), 2024, 21(04): 370-376.
[13] 钱警语, 郑明明. 《2024意大利妇产科学会非侵入性和侵入性产前诊断指南》解读[J/OL]. 中华妇幼临床医学杂志(电子版), 2024, 20(05): 486-492.
[14] 张琛, 秦鸣, 董娟, 陈玉龙. 超声检查对儿童肠扭转缺血性改变的诊断价值[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(06): 565-568.
[15] 陈秀晓, 隋文倩, 王珉鑫, 吴圆圆. 腹股沟斜疝并腹腔游离体超声表现一例[J/OL]. 中华临床医师杂志(电子版), 2024, 18(05): 516-517.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?