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兰州大学第二医院超声科,730030
纸质出版日期:2022,
网络出版日期:2022-5-27,
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陈梦, 王白冰, 王丹丹, 等. 超声在不同疾病膈肌功能监测中的应用进展[J]. 临床超声医学杂志, 2022,24(5).
Research progress of ultrasound in monitoring diaphragm function in different diseases[J]. Journal of Clinical Ultrasound in Medicine, 2022,24(5).
陈梦, 王白冰, 王丹丹, 等. 超声在不同疾病膈肌功能监测中的应用进展[J]. 临床超声医学杂志, 2022,24(5). DOI:
Research progress of ultrasound in monitoring diaphragm function in different diseases[J]. Journal of Clinical Ultrasound in Medicine, 2022,24(5). DOI:
膈肌功能障碍会导致ICU住院时间延长、脱机失败及死亡率升高
因此
及时评估膈肌功能对于患者的预后转归极为重要。以往膈肌功能评估多用透视、MRI、膈肌肌电图、跨膈压等方法
但因存在辐射、有创、操作复杂等原因使用受到限制。超声作为一种实时、无创、无辐射、经济、可定性及定量的检查方法
可广泛应用于床旁膈肌功能的监测。本文对膈肌生理、超声评估膈肌功能的参数及临床应用进行综述。
Diaphragm dysfunction is associated with prolonged ICU stays
weaning failure
and increased mortality
so timely assessment of diaphragm function is critical for patient outcomes.In the past
fluoroscopy
MRI
electromyography of diaphragm
transdiaphragmatic pressure and other methods were used to evaluate diaphragm function
but the use was limited due to radiation
invasive
complex operation and other reasons.As a real-time
non-invasive
non-radiative
economical
qualitative and quantitative examination method
ultrasound can be widely used in the monitoring of bedside diaphragm function. This article reviews the physiological characteristics of diaphragm
parameters of diaphragm function evaluation by ultrasound and clinical application.
膈肌超声机械通气COPD神经肌肉疾病
DiaphragmUltrasoundMechanical ventilationCOPDneuromuscular disease
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