胃肠道超声在重症患者中的临床应用

Clinical application of gastrointestinal ultrasound in critical patients

胃肠道超声是一种无创、实时性强的检查技术,能够提供动态的影像信息,对胃肠道结构、功能和血流灌注等进行评估,有助于早期诊断和个体化治疗方案的制定。本文主要综述了胃肠道超声应用于监测重症患者的胃肠道功能障碍、指导重症患者营养方案的实施,指导重症患者肠内营养管、引流管的放置,评估血管,确定急腹症的病因(如肠梗阻、胃肠道穿孔)等方面,具有重要的临床意义。胃肠道超声有望成为重症医学领域中不可或缺的工具。

Gastrointestinal ultrasound is a noninvasive,real-time examination technique that provides dynamic imaging information to assess gastrointestinal tract structure,function,and perfusion,which can help in early diagnosis and the development of individualized treatment plans.This article reviews the application of gastrointestinal ultrasound to monitor gastrointestinal dysfunction in critically ill patients,guide the implementation of nutritional regimens in critically ill patients,guide the placement of enteral nutritional tubes and drains in critically ill patients,assess vascularity,and determine the etiology of acute abdominal disorders(e.g.,intestinal obstruction,gastrointestinal perforation),which is of great clinical significance.Gastrointestinal ultrasound is expected to become an indispensable tool in the field of critical care medicine.