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尹万红, 张中伟, 康焰, 等. 重症超声核心技术与可视化诊疗核心技能[J]. 四川大学学报(医学版), 2019, 50(6): 787-791.
引用本文: 尹万红, 张中伟, 康焰, 等. 重症超声核心技术与可视化诊疗核心技能[J]. 四川大学学报(医学版), 2019, 50(6): 787-791.
YIN Wan-hong, ZHANG Zhong-wei, KANG Yan, et al. Critical Care Ultrasound as Core Technology and Visualization Critical Care as Core Skills[J]. Journal of Sichuan University (Medical Sciences), 2019, 50(6): 787-791.
Citation: YIN Wan-hong, ZHANG Zhong-wei, KANG Yan, et al. Critical Care Ultrasound as Core Technology and Visualization Critical Care as Core Skills[J]. Journal of Sichuan University (Medical Sciences), 2019, 50(6): 787-791.

重症超声核心技术与可视化诊疗核心技能

Critical Care Ultrasound as Core Technology and Visualization Critical Care as Core Skills

  • 摘要: 重症超声是将床旁超声技术进行临床化、重症特色化的应用。重症超声具有多重角色作用,既可以作为一种无创监测工具获取反映病情的数据指标,又能作为一种全面可视化的评估手段监测脏器病理生理状态及结构改变,助力重症专业医师全面、深入地掌握病情,高效、准确地丰富其临床决策依据,提高诊治的精准性和高效性。因此,业界已将重症超声作为重症救治的核心技术之一。重症超声的特点和优势决定了其是天然的可视化诊疗载体,所以我们一直致力于探索将重症超声的应用动态地融入具体的临床诊治项目中,建立相应的应用流程,用以规范临床医师的诊治行为,减少医疗差错。由此产生了一种新的诊疗方式,即以重症超声可视化证据为支撑,以病理生理状态为导向的流程化规范诊疗——重症超声可视化诊疗。本文从重症超声的形成与内涵、重症超声作为核心技术的应用方式、重症超声可视化诊疗的价值及重症救治中必需使用重症超声的环节等几方面展开论述和梳理,以期后继更好地开展科研和临床实践,拓展重症超声的价值,助力重症医学的发展。

     

    Abstract: Critical Care Ultrasound(CCUS)is the one of the ultrasound technologies which integrates the bedside ultrasound application into daily clinical practice in critical care medicine. It has multiple roles, at first is a non-invasive monitoring tool to measure variables that can reflect the essence of the disease, and then is a comprehensive visualized tool to evaluate the pathophysiological status and structural changes of organs, which facilitates the critical care providers to know more about the patients and provides more reliable evidence to promote the accuracy and efficiency of the diagnosis, the clinical decision-making and the treatment of the critically ill. Therefore, the critical care ultrasound has been used as one of the core technologies of critical care. The characteristics and advantages of CCUS destine it as an orientation and instruction of visualized diagnosis and treatment. We devote ourselves to explore methods of integrating the application of CCUS into clinical management of critically ill, and establish specific approaches and workflows to standardize the clinical practice of clinicians and reduce medical errors. Therefore, a new diagnostic and treatment pattern can be developed, which is called visualized critical care. It is a care pattern of critical illness based on the CCUS visualization evidence including the pathophysiological status and other informations. This article will carefully discuss the connotation of CCUS, the unique clinical value in critically ill patients, and the value of visualized critical care approaches in acute respiratory and circulatory collapse and shock management, etc..

     

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