循环不稳定是急重症患者常见急症之一,快速评估其容量状态是指导治疗的关键.检测中心静脉压(CVP)是目前临床评估容量负荷的较常用方法,但为有创操作,且存在较多近远期并发症.超声作为无创检查已广泛应用于监测血流动力学,近年来,采用急诊超声评估患者容量状态并指导液体治疗日益普及.本文对超声评估急重症患者容量状态的应用进展进行综述.%Circulatory instability is one of the most common acute emergency conditions,and rapid assessment of capacity status is the key to guide treatment.At present,measuring of central venous pressure (CVP) is a commonly used method,but it is an invasive operation which may bring some recent and long-term complications.Recently,as a noninvasive examination,ultrasound has been widely used in monitoring of hemodynamics,and emergency ultrasound assessment of patient's capacity status and directing fluid therapy has become popular.The application progresses of ultrasonography in assessment of capacity status in acute severe patients were reviewed in this paper.
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