床旁超声监测腋静脉变异度在围术期容量管理的应用进展

Application progress on bedside ultrasound monitoring of axillary vein variability in perioperative volume management

评估患者的容量状态以及容量反应性可以指导临床医师对围术期患者容量进行合理管理,也可以指导麻醉过程中的容量治疗,有助于患者快速康复。目前,床旁超声可视化技术已被广泛应用于围术期容量评估。腋静脉超声因其操作简单、无创以及不受腹内压影响等优点,已被应用于评估患者的容量状态。本文对床旁超声监测腋静脉变异度在围术期患者容量管理中的应用进展进行综述,以期为围术期患者的容量管理和容量治疗提供参考。

Evaluating the volume state and volume responsiveness of patients can guide clinicians to manage the volume of perioperative patients reasonably.It can guide volume therapy during anesthesia,which is helpful for patients to recover quickly.At present,bedside ultrasound visualization technology has been widely used in perioperative volume evaluation.Axillary vein ultrasound has been applied to evaluate the volume status of patients for its simple operation,noninvasiveness,and being unaffected by intra⁃abdom⁃inal pressure.This article will review the progress of bedside ultrasound monitoring of axillary venous on vol⁃ume management in perioperative patients,in order to provide a reference for volume management and vol⁃ume treatment in perioperative patients.