超声评估危重症患者器官灌注的研究进展

李 臻阳1, 潘 纯*2
1、青海大学附属医院(临床医学院)
2、四川省人民医院

摘要


超声在重症监护病房(intensive care unit,ICU)内对评估患者的器官灌注有显著作用,可指导治疗;且具
有无创、便捷的优点。器官灌注不仅受到心脏功能,器官动脉端灌注的影响,还与静脉端压力相关。本文对超声在
评估心脏功能、器官动脉灌注及静脉充血方面的研究进展作一综述。

关键词


床旁超声;危重症患者;动脉灌注;静脉充血

全文:

PDF


参考


[1]Tavazzi G, Spiegel R, Rola P, et al. Multiorgan

Evaluation of Perfusion and Congestion Using Ultrasound in

Patients with Shock[J]. Eur Heart J Acute Cardiovasc Care,

2023, 12(5): 344-352.

[2]Marwick TH. Ejection Fraction Pros and Cons:

Jacc State-of-the-Art Review[J]. J Am Coll Cardiol, 2018,

72(19): 2360-2379.

[3]Hensel KO, Roskopf M, Wilke L, et al. Intraobserver

and Interobserver Reproducibility of M-Mode and B-Mode

Acquired Mitral Annular Plane Systolic Excursion (Mapse)

and Its Dependency on Echocardiographic Image Quality in

Children[J]. PLoS One, 2018, 13(5): e0196614.

[4]Brault C, Zerbib Y, Mercado P, et al. Mitral Annular

Plane Systolic Excursion for Assessing Left Ventricular Systolic

Dysfunction in Patients with Septic Shock[J]. BJA Open,

2023, 7: 100220.

[5]Blixt PJ, Nguyen M, Cholley B, et al. Association

between Left Ventricular Systolic Function Parameters and

Myocardial Injury, Organ Failure and Mortality in Patients

with Septic Shock[J]. Ann Intensive Care, 2024, 14(1): 12.

[6]刘智达,张杰,高帅,等不同呼气末正压水平对

急性呼吸窘迫综合征右心功能的影响[J].中华实用诊断与

治疗杂志2025,39(06):539-544.

[7]Rasulo FA, Calza S, Robba C, et al. Transcranial

Doppler as a Screening Test to Exclude Intracranial

Hypertension in Brain-Injured Patients: The Impressit-2

Prospective Multicenter International Study[J]. Crit Care,

2022, 26(1): 110.

[8]De Riva N, Budohoski KP, Smielewski P, et al.

59

医学理论研究 | 第3卷/第4期

Medical Theory Research

Transcranial Doppler Pulsatility Index: What It Is and What It

Isn’t[J]. Neurocrit Care, 2012, 17(1): 58-66.

[9]Taylor JD, Higgins AM, Mcarthur C, et al. Early

Management of Adult Severe Traumatic Brain Injury: What

Researchers and Clinicians Must Know[J]. Anaesth Crit Care

Pain Med, 2025: 101604.

[10]Brasil S, Cardim D, Caldas J, et al. Predicting ShortTerm Outcomes in Brain-Injured Patients: A Comprehensive

Approach with Transcranial Doppler and Intracranial

Compliance Assessment[J]. J Clin Monit Comput, 2024,

38(6): 1237-1247.

[11]Sandroni C, Skrifvars MB, Taccone FS. Brain

Monitoring after Cardiac Arrest[J]. Curr Opin Crit Care,

2023, 29(2): 68-74.

[12]Sawicki K, Placek MM, Łysoń T, et al. Change in

Blood Flow Velocity Pulse Waveform During Plateau Waves

of Intracranial Pressure[J]. Brain Sci, 2021, 11(8).

[13]Ruiz S, Vardon-Bounes F, Virtos M, et al. Influence

of Arterial Blood Gases on the Renal Arterial Resistive Index

in Intensive Care Unit[J]. J Transl Med, 2023, 21(1): 541.

[14]Wei Q, Zhu Y, Zhen W, et al. Performance of

Resistive Index and Semi-Quantitative Power Doppler

Ultrasound Score in Predicting Acute Kidney Injury: A

Meta-Analysis of Prospective Studies[J]. PLoS One, 2022,

17(6): e0270623.

[15]Watchorn J, Huang D, Bramham K, et al. Decreased

Renal Cortical Perfusion, Independent of Changes in Renal

Blood Flow and Sublingual Microcirculatory Impairment,

Is Associated with the Severity of Acute Kidney Injury in

Patients with Septic Shock[J]. Crit Care, 2022, 26(1): 261.

[16]Corradi F, Brusasco C, Garlaschi A, et al. Splenic

Doppler Resistive Index for Early Detection of Occult

Hemorrhagic Shock after Polytrauma in Adult Patients[J].

Shock, 2012, 38(5): 466-473.

[17]Brusasco C, Tavazzi G, Robba C, et al. Splenic

Doppler Resistive Index Variation Mirrors Cardiac

Responsiveness and Systemic Hemodynamics Upon Fluid

Challenge Resuscitation in Postoperative Mechanically

Ventilated Patients[J]. Biomed Res Int, 2018, 2018: 1978968.

[18]Zhou Y, He H, Wang X, et al. Resistance Index

of the Superior Mesenteric Artery: Correlation with Lactate

Concentration and Kinetics Prediction after Cardiac

Surgery[J]. Front Med (Lausanne), 2021, 8: 762376.

[19]Zhou Y, He H, Cui N, et al. Elevated Pulsatility

Index of the Superior Mesenteric Artery Indicated Prolonged

Mechanical Ventilation in Patients after Cardiac Valve

Surgery[J]. Front Surg, 2022, 9: 1049753.

[20]Giles C, Huard K, Denault A, et al. Prediction of

Acute Kidney Injury after Cardiac Surgery with Combined

Arterial and Venous Intrarenal Doppler[J]. Can J Kidney

Health Dis, 2024, 11: 20543581241309976.

[21]Vella A, Labate V, Carenini G, et al. Phenotyping

Congestion in Acute Heart Failure by Renal Flow and Right

Heart to Pulmonary Circulation Coupling[J]. ESC Heart Fail,

2023, 10(6): 3546-3558.

[22]Ohara H, Yoshihisa A, Horikoshi Y, et al. Renal

Venous Stasis Index Reflects Renal Congestion and Predicts

Adverse Outcomes in Patients with Heart Failure[J]. Front

Cardiovasc Med, 2022, 9: 772466.

[23]Eljaiek R, Cavayas YA, Rodrigue E, et al. High

Postoperative Portal Venous Flow Pulsatility Indicates Right

Ventricular Dysfunction and Predicts Complications in

Cardiac Surgery Patients[J]. Br J Anaesth, 2019, 122(2): 206-

214.

[24]Singh NG, Kumar KN, Nagaraja PS, et al. Portal

Venous Pulsatility Fraction, a Novel Transesophageal

Echocardiographic Marker for Right Ventricular Dysfunction

in Cardiac Surgical Patients[J]. Ann Card Anaesth, 2020,

23(1): 39-42.

[25]Beaubien-Souligny W, Benkreira A, Robillard P,

et al. Alterations in Portal Vein Flow and Intrarenal Venous

Flow Are Associated with Acute Kidney Injury after Cardiac

Surgery: A Prospective Observational Cohort Study[J]. J Am

Heart Assoc, 2018, 7(19): e009961.

[26]Viana-Rojas JA, Argaiz E, Robles-Ledesma M, et

al. Venous Excess Ultrasound Score and Acute Kidney Injury

in Patients with Acute Coronary Syndrome[J]. Eur Heart J

Acute Cardiovasc Care, 2023, 12(7): 413-419.


Refbacks

  • 当前没有refback。