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重症超声临床应用技术规范

Technical specification for clinical application of critical ultrasonography

摘要:

Critical ultrasonography(CUS) is different from the traditional diagnostic ultrasound,the examiner and interpreter of the image are critical care medicine physicians.The core content of CUS is to evaluate the pathophysiological changes of organs and systems and etiology changes.With the idea of critical care medicine as the soul,it can integrate the above information and clinical information,bedside real-time diagnosis and titration treatment,and evaluate the therapeutic effect so as to improve the outcome.CUS is a traditional technique which is applied as a new application method.The consensus of experts on critical ultrasonography in China released in 2016 put forward consensus suggestions on the concept,implementation and application of CUS.It should be further emphasized that the accurate and objective assessment and implementation of CUS requires the standardization of ultrasound image acquisition and the need to establish a CUS procedure.At the same time,the standardized training for CUS accepted by critical care medicine physicians requires the application of technical specifications,and the establishment of technical specifications is the basis for the quality control and continuous improvement of CUS.Chinese Critical Ultrasound Study Group and Critical Hemodynamic Therapy Collabration Group,based on the rich experience of clinical practice in critical care and research,combined with the essence of CUS,to learn the traditional ultrasonic essence,established the clinical application technical specifications of CUS,including in five parts:basic view and relevant indicators to obtain in CUS;basic norms for viscera organ assessment and special assessment;standardized processes and systematic inspection programs;examples of CUS applications;CUS training and the application of qualification certification.The establishment of applied technology standard is helpful for standardized training and clinical correct implementation.It is helpful for clinical evaluation and correct guidance treatment,and is also helpful for quality control and continuous improvement of CUS application.

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作者: 中国重症超声研究组 [1] 尹万红 [2] 王小亭 [3] 刘大为 [3] 晁彦公 [4] 管向东 [5] 康焰 [2] 严静 [6] 马晓春 [7] 汤耀卿 [8] 胡振杰 [9] 于凯江 [10] 陈德昌 [8] 艾宇航 [11] 张丽娜 [11] 张宏民 [3] 武钧 [8] 刘丽霞 [9] 朱然 [7] 何伟 [12] 张青 [3] 丁欣 [3] 李莉 [11] 李易 [2] 刘海涛 [10] 曾琴兵 [4] 司向 [5] 陈焕 [3] 张军伟 [13] 许强宏 [6] 陈文劲 [14] 陈秀凯 [15] 黄道政 [16] 蔡书翰 [17] 尚秀玲 [18] 关键 [4] 杜鹃 [19] 赵醴 [20] 王敏佳 [6] 崔嵩 [21] 王晓猛 [22] 周然 [2] 曾学英 [2] 王艺萍 [23] 吕立文 [24] 朱炜华 [25] 朱英 [26] 段军 [27] 杨婧 [2] 杨浩 [2] 重症血流动力学治疗协作组 [1]
期刊: 《中华内科杂志》2018年57卷6期 397-417页 MEDLINEISTICPKUCSCDCA
主题词: 规范(Benchmarking)
栏目名称: 标准与讨论
DOI: 10.3760/cma.j.issn.0578-1426.2018.06.004
发布时间: 2018-07-12
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