胡雅静,孙琰.肺部超声在血液透析患者肺淤血评估中的应用[J].中国医学影像技术,2017,33(7):1113~1116
肺部超声在血液透析患者肺淤血评估中的应用
Application of lung ultrasound in evaluation of pulmonary congestion in hemodialysis patients
投稿时间:2016-10-31  修订日期:2017-03-21
DOI:10.13929/j.1003-3289.201610154
中文关键词:  超声检查  肺淤血  血液透析
英文关键词:Ultrasonography  Pulmonary congestion  Hemodialysis
基金项目:
作者单位E-mail
胡雅静 昆明医科大学第二附属医院超声科, 云南 昆明 650101  
孙琰 昆明医科大学第二附属医院超声科, 云南 昆明 650101 1131191506@qq.com 
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中文摘要:
      多数终末期肾病血液透析患者存在不同程度的体液潴留或隐匿性肺淤血,持续的容量超负荷将导致心血管并发症而影响患者的生存质量及生存时间,因此血液透析患者的容量控制是亟待解决的问题。近年来,肺部超声在血液透析患者肺淤血的量化评估方面已得到关注,其不仅可发现早期肺淤血,而且可预测透析患者的预后,是一种有效、实时且敏感的床旁非侵入性手段。本文对肺部超声在终末期肾病血液透析患者肺淤血中的应用现状及研究进展进行综述。
英文摘要:
      Volume overload or hidden lung congestion is emerging as a pervasive problem in end-stage renal disease (ESRD) patients on hemodialysis, which will lead to cardiovascular complications and impact the patients' life quality and survival time, so how to improve volume control in patients on hemodialysis is a urgent research hotspot. Recently, the application of lung ultrasound for semi-quantitative assessment pulmonary congestion in patients on hemodialysis has received general concern. Lung ultrasound not only can detect excessive extravascular lung water in the early period of pulmonary congestion, but also can predict cardiac events and mortality in ESRD. Lung ultrasound is an effective, sensitive, real-time and non-invasive tool beside. The application and progresses of lung ultrasound in evaluation of pulmonary congestion in hemodialysis patients were reviewed in this article.
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