摘要
在急性循环衰竭治疗中,常使用的评估液体反应性的动态参数(如脉压变异度、每搏输出量变异度或上下腔静脉塌陷度)具有较高的预测准确性,但在许多临床场景中使用受限。近年提出了多种无创评估液体反应性的新方法,如呼气末阻断试验、吸气末阻断试验、颈内静脉扩张度/塌陷度、肝静脉血流频谱以及周围大动脉多普勒等,且其预测的准确度和灵敏度得到了临床验证,具有操作简单、重复性好等优势。因此,深入研究各方法在危重患者中的研究进展将为其临床应用提供依据。
In the treatment of acute circulatory failure,dynamic parameters often used to evaluate fluid responsiveness(such as pulse pressure variability,stroke volume variability or superior and inferior vena cava collapse)have high prediction accuracy,but their use is limited in many clinical scenarios.In recent years,a variety of new methods for noninvasive assessment of fluid responsiveness have been proposed,such as end-expiratory/end-inspiratory occlusion test,internal jugular vein dilation/collapse degree,hepatic vein blood flow spectrum and Doppler of peripheral arteries,and their accuracy and sensitivity have been clinically verified,with the advantages of simple operation and good repeatability.Therefore,deep exploration of the research progress of each method in critically ill patients will provide a basis for their clinical application.
作者
王敏会
马洪芳
田晶晶
张雯予
王金荣
WANG Minhui;MA Hongfang;TIAN Jingjing;ZHANG Wenyu;WANG Jinrong(Department of Critical Care Medicine,Harrison International Peace Hospital Affiliated to Hebei Medical University,Hengshui 053000,China)
出处
《医学综述》
CAS
2024年第19期2405-2412,共8页
Medical Recapitulate
基金
河北省科技计划项目(162777279)。
关键词
休克
液体反应性
液体治疗
吸气末阻断试验
动脉峰流速
Shock
Fluid responsiveness
Fluid therapy
End-inspiratory occlusion test
Arterial peak velocity
