摘要
急性呼吸困难是多临床科室共同的难题,严重者可致呼吸衰竭、休克甚至死亡。肺超声技术以其床旁便捷性、无创性、准确性和可重复性等优势,逐渐成为急危重症患者诊疗必备的床旁影像学工具之一。近年来,超声科医师广泛开展床旁检查项目。以超声图像为“视觉窗口”,并与急危重症血流动力学、心肺病理生理学等临床理论相融合的学科交叉,有望成为未来床旁呼吸困难诊治的方向之一。在梳理既往研究和工作经验的基础上形成此专家建议,旨在为床旁肺超声应用提供思路。
Acute respiratory distress is a common problem in many clinical departments,and in severe cases,it can lead to respiratory failure,shock and even death.Lung ultrasound technology has gradually become one of the essential bedside imaging tools for the diagnosis and treatment of patients with acute and critical illnesses due to its advantages of bedside convenience,non-invasiveness,accuracy and reproducibility.In recent years,ultrasonographers have developed a wide range of bedside examination programs.The cross-disciplinary approach of using ultrasound as a"visual window"and integrating it with clinical theories such as hemodynamics and cardiopulmonary pathophysiology in acute and critical illnesses is expected to become one of the future directions for the diagnosis and treatment of bedside dyspnea.This expert recommendation is based on previous research and work experience and aims to provide ideas for the application of bedside lung ultrasound.
作者
河北省医学会超声分会
河北省医师协会超声医师分会
河北省超声医学质量管理与控制中心
河北省预防医学会超声专业委员会
薛红元
李丽
赵浩天
Hebei Provincial Medical Association Ultrasound Branch;Hebei Provincial Physicians Association Ultrasonographers Branch;Hebei Provincial Ultrasound Quality Management and Control Center;Ultrasound Committee of Hebei Provincial Preventive Medical Association;Xue Hongyuan
出处
《疑难病杂志》
CAS
2024年第3期257-265,共9页
Chinese Journal of Difficult and Complicated Cases
基金
河北省科技计划项目(20277741D)
河北省医学科学研究课题计划项目(20211264、20211228、20231609、20230337、20210443)。
关键词
急性呼吸困难
肺超声
鉴别诊断
征象
专家建议
Acute dyspnea
Lung ultrasound
Differential diagnosis
Signs
Expert consensus
