床旁超声检查在儿童重症监护病房的应用前景

Application of bedside ultrasonography in PICU

床旁超声以评估循环状况、重要脏器的结构和功能为主要目标，并有助于引导完成有创性操作。与传统超声不同，床旁超声更侧重于直接解决临床问题，辅助治疗方案的制定和优化。床旁超声已成为发达国家急诊和重症监护医师必备的专业技能，依赖床旁超声技术发展的危重症治疗策略，尤其是流程化治疗策略，是床旁超声的发展趋势。我国床旁超声技术，尤其在儿科重症监护病房的应用尚处于起步阶段。推广床旁超声理念，制定合理的培训和考核制度，是我国现阶段床旁超声技术发展的主要方向。

Bedside ultrasonography is used to provide information about the cardiovascular system and the function and anatomy of certain internal organs,and help to guide the invasive procedures.Compared to traditional ultrasonography,bedside ultrasonography is more focused on the optimization of the treatment.It has become a necessary tool,as a powerful adjunct to the physical examination,in the management of critically ill patients in advanced countries.The development trend is the clinical protocol based on bedside ultrasonog-raphy.The application of bedside ultrasonography in China is limited,especially in PICU.Standardized educa-tion and quality assurance system are needed to its popularization.