摘要
近年来,重症超声的应用呈爆发式增长,临床用以引导操作、确定诊断、指导治疗等,同样也可用于心肺复苏中。在心肺复苏中,首先重症超声可用来判断患者是否发生心脏骤停;其次,能帮助施救者判断心脏骤停的类型,尤其是区分心室颤动和心搏停止;最后,重症超声还能识别假性无脉电活动,及时发现并鉴别其原因,再采取针对性救治措施,避免患者发生真性心脏骤停。目标导向超声生命支持评估流程将重症超声与心肺复苏流程进行整合,最大程度上避免了干扰心肺复苏过程,得到了2015版美国心脏协会心肺复苏及心血管急救指南的推荐。
Critical ultrasound presents explosive growth in recent years, which can be used in procedure assistance, diagnosis clarification, treatment guidance, and cardiopulmonary resuscitation. First of all ,critical ultrasound can be performed to determine the cardiac arrest or not. Secondly, it can be used to help differentiate the type of cardiac arrest, especially the ventricular fibrillation and asystole. Finally but maybe the most importantly, critical ultrasound can be used to discern the pseudo pulseless electrical activity （PEA）, identify the cause to avoid the true cardiac arrest with the treatment and cure measures to the point. Focused echocardiography evaluation in life support （FEEL） can be conducted in cardiopulmonary resuscitation （CPR） process without interrupt to an extreme, which integrated the critical ultrasound and CPR, and was recommended by the 2015 American Heart Association Guidelines Update for cardiopulmonary resuscitation and emergency cardiovascular care.
作者
段军
丛鲁红
陈德生
李刚
Duan Jun Cong Luhong Chen Desheng Li Gang(Department of Surgical Intensive Care Unit Department of Emergency, China Japan Friendship Hospital, Beijing 100029, China)
出处
《中华诊断学电子杂志》
2017年第3期158-161,共4页
Chinese Journal of Diagnostics(Electronic Edition)
关键词
重症超声
心肺复苏术
心脏停搏
Critical ultrasound
Cardiopulmonary resuscitation
Cardiac arrest
