肺超声在血液透析患者容量超负荷评估中的应用

被引：9

作者：

崔琳琳

叶朝阳

机构：

[1] 第二军医大学长征医院肾内科解放军肾脏病研究所

来源：

中国血液净化 | 2015年 / 14卷 / 02期

关键词：

D O I：

暂无

中图分类号：

R459.5 [透析疗法];

学科分类号：

100231 [临床病理学];

摘要：

<正>维持性血液透析患者大多存在不同程度的体液潴留,高容量负荷使心、脑血管疾病发病率和死亡率显著增加。目前血液透析患者容量评估主要采用临床评估法,即肾科医师根据经验、患者透析史和部分参数(如临床症状、体质量、血压、心率、水肿及血管充盈程度等)来判断[1-2],但主观性较强,不能有效评估容量负荷。因此,肾科医师一直在寻找一种敏感性高、特异性强、简便、非损伤、易随访且具预见性的方法来评估血液透析患者的容量状态,以实现患者

引用

收藏

页码：113 / 115

页数：3

相关论文

共 7 条

[1]

肺超声的临床应用进展 [J].

叶熊 ;

张睢扬 .

国际呼吸杂志, 2012, (14)

[2]

Lung ultrasound during hemodialysis: the role in the assessment of volume status [J].

Vitturi, Nicola ;

Dugo, Mauro ;

Soattin, Marta ;

Simoni, Francesco ;

Maresca, Luisa ;

Zagatti, Riccardo ;

Maresca, Maria Cristina .

INTERNATIONAL UROLOGY AND NEPHROLOGY, 2014, 46 (01) :169-174

[3]

Detection of Pulmonary Congestion by Chest Ultrasound in Dialysis Patients [J].

Mallamaci, Francesca ;

Benedetto, Francesco A. ;

Tripepi, Rocco ;

Rastelli, Stefania ;

Castellino, Pietro ;

Tripepi, Giovanni ;

Picano, Eugenio ;

Zoccali, Carmine .

JACC-CARDIOVASCULAR IMAGING, 2010, 3 (06) :586-594

[4]

Prognostic value of extravascular lung water assessed with ultrasound lung comets by chest sonography in patients with dyspnea and/or chest pain [J].

Frassi, Francesca ;

Gargani, Luna ;

Tesorio, Paola ;

Raciti, Mauro ;

Mottola, Gaetano ;

Picano, Eugenio .

JOURNAL OF CARDIAC FAILURE, 2007, 13 (10) :830-835

[5]

Assessment of stress-induced pulmonary interstitial edema by chest ultrasound during exercise echocardiography and its correlation with left ventricular function [J].

Agricola, E ;

Picano, E ;

Oppizzi, M ;

Pisani, M ;

Meris, A ;

Fragasso, G ;

Margonato, A .

JOURNAL OF THE AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, 2006, 19 (04) :457-463

[6]

Usefulness of ultrasound lung comets as a nonradiologic sign of extravascular lung water [J].

Jambrik, Z ;

Monti, S ;

Coppola, V ;

Agricola, E ;

Mottola, G ;

Miniati, M ;

Picano, E .

AMERICAN JOURNAL OF CARDIOLOGY, 2004, 93 (10) :1265-1270

[7]

A lung ultrasound sign allowing bedside distinction between pulmonary edema and COPD:: the comet-tail artifact [J].

Lichtenstein, D ;

Mezière, G .

INTENSIVE CARE MEDICINE, 1998, 24 (12) :1331-1334