基础医学与临床 ›› 2024, Vol. 44 ›› Issue (11): 1487-1491.doi: 10.16352/j.issn.1001-6325.2024.11.1487

• 特邀专题:电阻抗断层成像 • 上一篇    下一篇

电阻抗断层成像在急性呼吸窘迫综合征患者诊疗中的应用

刘博1, 宁雅婵1, 张潇然2, 王春梅1*   

  1. 1.首都医科大学宣武医院 重症医学科, 北京 100053;
    2.首都医科大学附属友谊医院 急诊科, 北京 100050
  • 收稿日期:2024-08-21 修回日期:2024-09-20 出版日期:2024-11-05 发布日期:2024-10-31
  • 通讯作者: *drwangchunmei@sina.com
  • 基金资助:
    北京市重大疫情防治重点专科项目(京卫医〔2021〕135号);国家临床重点专科建设项目(国卫办医函〔2021〕451 号)

Application of electrical impedance tomography in the diagnosis and treatment of acute respiratory distress syndrome

LIU Bo1, NING Yachan1, ZHANG Xiaoran2, WANG Chunmei1*   

  1. 1. Department of Critical Care Medicine,Xuanwu Hospital, Capital Medical University,Beijing 100053;
    2. Department of Emergency Medicine,Beijing Friendship Hospital,Capital Medical University,Beijing 100050, China
  • Received:2024-08-21 Revised:2024-09-20 Online:2024-11-05 Published:2024-10-31
  • Contact: *drwangchunmei@sina.com

摘要: 电阻抗断层成像是上世纪末发展起来的一门新兴成像技术,具有无创性、无辐射性、灵活性、低成本、操作简单等突出优势。本文主要阐述了电阻抗断层成像基本原理、发展以及在急性呼吸窘迫综合征患者中的应用。针对急性呼吸窘迫综合征患者的诊断、临床治疗决策、通气监测以及其临床应用的局限性进行阐述。对EIT未来发展提出建议,包括开展更多临床研究、改进技术精度和降低成本、加强医护人员培训等。

关键词: 电阻抗断层成像, 急性呼吸窘迫综合征, 呼气末正压, 俯卧位

Abstract: Electrical impedance tomography (EIT) is an emerging imaging technology developed at the end of the last century, which has outstanding advantages such as non-invasiveness, non-radiation, smart, low cost and easy operation. This article reviews the development, principles and clinical application of electrical impedance tomography in diagnosis, decision-making of clinical management of acute respiratory distress syndrome. The article also provides suggestions for the future development of EIT in terms of more clinical research, improving technical accuracy, cost/effectiveness and training of staff.

Key words: electrical impedance tomography, acute respiratory distress syndrome, positive end expiratory pressure, prone position

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