床旁高渗盐水造影肺灌注电阻抗断层成像技术在肺动脉内膜剥脱术后应用2例并文献复习

基金项目:

国家重点研发计划（2022YFC2404805）；国家自然科学基金（82272249）；海南省自然科学基金青年基金项目（822QN493）

详细信息

Application of Bedside Hypertonic Saline-contrast Electrical Impedance Tomography of Lung Perfusion in Patients After Pulmonary Endarterectomy: Two Cases and Literature Review

1 Department of Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;
2 Department of Cardiac Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;
3 Department of Critical Care Medicine, Hainan Western Central Hospital, Danzhou, Hainan 571700, China

Funds:

National Key Research and Development Program of China (2022YFC2404805)

摘要: 肺电阻抗断层成像（electrical impedance tomography，EIT）作为一种床旁无创、连续、动态、无辐射的肺通气监测技术，目前已广泛应用于急危重症患者的诊疗。除肺通气监测外，近年来高渗盐水造影肺灌注EIT床旁监测也备受关注。本文介绍高渗盐水造影肺灌注EIT技术床旁评估2例肺动脉内膜剥脱术后患者的肺灌注情况，为该技术在此类患者围术期管理中的应用提供参考。
- 床旁高渗盐水造影电阻抗断层成像 /
- 肺灌注 /
- 慢性血栓栓塞性肺动脉高压 /
- 肺动脉内膜剥脱术
Abstract: Pulmonary electrical impedance tomography (EIT), as a bedside noninvasive, continuous, dynamic, and radiation-free lung ventilation monitoring technique, is now widely used in the diagnosis and treatment of critically ill patients. In addition to lung ventilation monitoring, saline contrast EIT for bedside monitoring of lung perfusion has recently attracted much attention. This article describes the hypertonic saline contrast lung perfusion EIT technique for bedside assessment of postoperative lung perfusion in two patients undergoing pulmonary endarterectomy, which provides a reference for the application of this technique in the perioperative management of this group of patients.

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