经胸心脏超声评估儿童容量反应性的研究进展

Research Progress of Fluid Responsiveness in Children with Transthoracic Echocardiography Evaluation

液体治疗是临床广泛应用的基本治疗措施。精确评估容量反应性有助于预测液体治疗疗效,避免无效或具有风险的液体治疗。随着近年的不断研究,经胸心脏超声应用范围逐步扩大,深入ICU、麻醉科、急诊科等多学科领域。经胸心脏超声应用于容量反应性的评估,具有无创、便捷、准确等优势。儿童与成人在生理方面存在巨大差异,循环系统发育不完善,输液不当极易导致左心衰、肺水肿等严重并发症。本文将经胸心脏超声评估儿童容量反应性的研究进展做一概述。

Liquid therapy is the basic treatment of clinical practice. Accurate assessment of fluid responsiveness helps to predict the efficacy of liquid therapy and avoid ineffective or risky treatment. With the continuous research in recent years,the application of transthoracic ultrasound has been widely applied to ICU,anesthesiology,emergency department and other disciplines. It has great clinical application value with the advantages of noninvasiveness,convenience and accuracy. There is a huge difference between children and adults in physiology. For children,,fluid infusion may easier lead to left heart failure,pulmonary edema and other serious complications with the immature circulatory system. Here we reviewed the research progress of the application of transthoracic echocardiography in predicting fluid responsiveness in children.