功能性血流動力學監測_《中國呼吸與危重監護雜志》

作者：

汪宗昱 ¹ , 吳勝楠 ² , 朱曦 ¹ , 伊敏 ¹ , 李宏亮 ¹

1 北京大學第三醫院危重醫學科（北京 100083）;;
2 北京大學第一醫院心臟外科;

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血流動力學監測是了解患者循環功能狀態，指導制定治療方案的重要依據，也是危重癥醫學領域的重要內容。以往臨床上最常用的血流動力學指標是一些靜態的、壓力性的指標，如中心靜脈壓（CVP）、肺動脈楔壓（PAOP）。但已有大量研究資料證實用靜態的壓力指標來反映循環系統的前負荷情況并不十分理想[1，2]，因而一些新的能更全面準確地評價循環容量的指標引起了臨床工作者的重視。

引用本文： 汪宗昱 ,吳勝楠,朱曦,伊敏,李宏亮. 功能性血流動力學監測. 中國呼吸與危重監護雜志, 2008, 08(3): 237-240. doi: 復制

1.	Nouira S，Elatrous S，Dimassi S，et al.Effects of norepinephrine on static and dynamic preload indicators in experimental hemorrhagic shock.Crit Care Med，2005，33：2339-2343.
2.	Wiesenack C，Prasser C，Keyl C，et al.Assessment of intrathoracic blood volume as an indicator of cardiac preload：single transpulmonary thermodilution technique versus assessment of pressure preload parameters derived from a pulmonary artery catheter.J Cardiothorac Vasc Anesth，2001，15：584-588.
3.	Della Rocca G，Costa GM，Coccia C，et al.Preload index：pulmonary artery occlusion pressure versus intrathoracic blood volume monitoring during lung transplantation.Anesth Analg，2002，95：835-843.
4.	Vignon P.Hemodynamic assessment of critically ill patients using echocardiography Doppler.Curr Opin Crit Care，2005，11：227-234.
5.	Pinsky MR.Functional hemodynamic monitoring.Intensive Care Med，2002，28，386-388.
6.	Berkenstadt H，Margalit N，Hadani M，et al.Stroke volume variation as a predictor of fluid responsiveness in patients undergoing brain surgery.Anesth Analg，2001，92：984-989.
7.	Michard F，Boussat S，Chemla D，et al.Relation between respiratory changes in arterial pulse pressure and fluid responsiveness in septic patients with acute circulatory failure.Am J Respir Crit Care Med，2000，162：134-138.
8.	Marx G，Cope T，McCrossan L，et al.Assessing fluid responsiveness by stroke volume variation in mechanically ventilated patients with severe sepsis.Eur J Anaesthesiol，2004，21：132-138.
9.	Kramer A，Zygun D，Hawes H，et al.Pulse pressure variation predicts fluid responsiveness following coronary artery bypass surgery.Chest，2004，126：1563-1568.
10.	Michard F，Teboul JL.Predicting fluid responsiveness in ICU patients：a critical analysis of the evidence.Chest，2002，121：2000-2008.
11.	Preisman S，Kogan S，Berkenstadt H，et al.Predicting fluid responsiveness in patients undergoing cardiac surgery：functional haemodynamic parameters including the respiratory systolic variation test and static preload indicators.Br J Anaesth，2005，95：746-755.
12.	Hofer CK，Müller SM，Furrer L，et al.Stroke volume and pulse pressure variation for prediction of fluid responsiveness in patients undergoing off-pump coronary artery bypass grafting.Chest，2005，128：848-854.
13.	Rex1 S，Brose S，Metzelder S，et al.Prediction of fluid responsiveness in patients during cardiac surgery.Br J Anaesth，2004，93：782-788.
14.	Wiesenack C，Fiegl C，Keyser A，et al.Assessment of fluid responsiveness in mechanically ventilated cardiac surgical patients.Eur J Anaesthesiol，2005，22：658-665.
15.	Fujita Y，Yamamoto T，Sano I，et al.A comparison of changes in cardiac preload variables during graded hypovolemia and hypervolemia in mechanically ventilated dogs.Anesth Analg，2004，99：1780-1786.
16.	Vieillard-Baron A，Chergui K，Rabiller A，et al.Superior vena cava collapsibility as a gauge of volume status in ventilated septic patients.Intensive Care Med，2004，30：1734-1739.
17.	Feissel M，Michard F，Faller JP，et al.The respiratory variation in inferior vena cava diameter as a guide to fluid therapy.Intensive Care Med，2004，30：1834-1837.
18.	Barbier C，Loubières Y，Schmit C，et al.Respiratory changes in inferior vena cava diameter are helpful in predicting fluid responsiveness in ventilated septic patients.Intensive Care Med，2004，30：1740-1746.
19.	Feissel M，Michard F，Mangin I，et al.Respiratory changes in aortic blood velocity as an indicator of fluid responsiveness in ventilated patients with septic shock.Chest，2001，119：867-873.
20.	Bendjelid K，Suter PM，Romand JA.The respiratory change in preejection period：a new method to predict fluid responsiveness.J Appl Physiol，2004，96：337-342.
21.	Wyffels PA，Durnez PJ，Helderweirt J，et al.Ventilation-induced plethysmographic variations predict fluid responsiveness in ventilated postoperative cardiac surgery patients.Anesth Analg，2007，105：448-452.
22.	Reuter DA，Felbinger TW，Schmidt C，et al.Storke volume variations for assessment of cardiac responsiveness to volume loading in mechanically ventilated patients after cardiac surgery.Intensive Care Med，2002，28：392-398.
23.	Perner A，Faber T.Stroke volume variation does not predict fluid responsiveness in patients with septic shock on pressure support ventilation.Acta Anaesthesiol Scand，2006，50：1068-1073.
24.	Heenen S，De Backer D，Vincent JL.How can the response to volume expansion in patients with spontaneous respiratory movements be predicted? Crit Care，2006，10：R102.
25.	Reuter DA，Bayerlein J，Goepfert MS，et al.Influence of tidal volume on left ventricular stroke volume variation measured by pulse contour analysis in mechanically ventilated patients.Intensive Care Med，2003，29：476-480.
26.	Backer DD，Heenen S，Piagnerelli M，et al.Pulse pressure variations to predict fluid responsiveness：influence of tidal volume.Intensive Care Med，2005，31：517-523.
27.	Renner J，Cavus E，Meybohm P，et al.Stroke volume variation during hemorrhage and after fluid loading：impact of different tidal volumes.Acta Anaesthesiol Scand，2007，51：538-544.

1. Nouira S，Elatrous S，Dimassi S，et al.Effects of norepinephrine on static and dynamic preload indicators in experimental hemorrhagic shock.Crit Care Med，2005，33：2339-2343.
2. Wiesenack C，Prasser C，Keyl C，et al.Assessment of intrathoracic blood volume as an indicator of cardiac preload：single transpulmonary thermodilution technique versus assessment of pressure preload parameters derived from a pulmonary artery catheter.J Cardiothorac Vasc Anesth，2001，15：584-588.
3. Della Rocca G，Costa GM，Coccia C，et al.Preload index：pulmonary artery occlusion pressure versus intrathoracic blood volume monitoring during lung transplantation.Anesth Analg，2002，95：835-843.
4. Vignon P.Hemodynamic assessment of critically ill patients using echocardiography Doppler.Curr Opin Crit Care，2005，11：227-234.
5. Pinsky MR.Functional hemodynamic monitoring.Intensive Care Med，2002，28，386-388.
6. Berkenstadt H，Margalit N，Hadani M，et al.Stroke volume variation as a predictor of fluid responsiveness in patients undergoing brain surgery.Anesth Analg，2001，92：984-989.
7. Michard F，Boussat S，Chemla D，et al.Relation between respiratory changes in arterial pulse pressure and fluid responsiveness in septic patients with acute circulatory failure.Am J Respir Crit Care Med，2000，162：134-138.
8. Marx G，Cope T，McCrossan L，et al.Assessing fluid responsiveness by stroke volume variation in mechanically ventilated patients with severe sepsis.Eur J Anaesthesiol，2004，21：132-138.
9. Kramer A，Zygun D，Hawes H，et al.Pulse pressure variation predicts fluid responsiveness following coronary artery bypass surgery.Chest，2004，126：1563-1568.
10. Michard F，Teboul JL.Predicting fluid responsiveness in ICU patients：a critical analysis of the evidence.Chest，2002，121：2000-2008.
11. Preisman S，Kogan S，Berkenstadt H，et al.Predicting fluid responsiveness in patients undergoing cardiac surgery：functional haemodynamic parameters including the respiratory systolic variation test and static preload indicators.Br J Anaesth，2005，95：746-755.
12. Hofer CK，Müller SM，Furrer L，et al.Stroke volume and pulse pressure variation for prediction of fluid responsiveness in patients undergoing off-pump coronary artery bypass grafting.Chest，2005，128：848-854.
13. Rex1 S，Brose S，Metzelder S，et al.Prediction of fluid responsiveness in patients during cardiac surgery.Br J Anaesth，2004，93：782-788.
14. Wiesenack C，Fiegl C，Keyser A，et al.Assessment of fluid responsiveness in mechanically ventilated cardiac surgical patients.Eur J Anaesthesiol，2005，22：658-665.
15. Fujita Y，Yamamoto T，Sano I，et al.A comparison of changes in cardiac preload variables during graded hypovolemia and hypervolemia in mechanically ventilated dogs.Anesth Analg，2004，99：1780-1786.
16. Vieillard-Baron A，Chergui K，Rabiller A，et al.Superior vena cava collapsibility as a gauge of volume status in ventilated septic patients.Intensive Care Med，2004，30：1734-1739.
17. Feissel M，Michard F，Faller JP，et al.The respiratory variation in inferior vena cava diameter as a guide to fluid therapy.Intensive Care Med，2004，30：1834-1837.
18. Barbier C，Loubières Y，Schmit C，et al.Respiratory changes in inferior vena cava diameter are helpful in predicting fluid responsiveness in ventilated septic patients.Intensive Care Med，2004，30：1740-1746.
19. Feissel M，Michard F，Mangin I，et al.Respiratory changes in aortic blood velocity as an indicator of fluid responsiveness in ventilated patients with septic shock.Chest，2001，119：867-873.
20. Bendjelid K，Suter PM，Romand JA.The respiratory change in preejection period：a new method to predict fluid responsiveness.J Appl Physiol，2004，96：337-342.
21. Wyffels PA，Durnez PJ，Helderweirt J，et al.Ventilation-induced plethysmographic variations predict fluid responsiveness in ventilated postoperative cardiac surgery patients.Anesth Analg，2007，105：448-452.
22. Reuter DA，Felbinger TW，Schmidt C，et al.Storke volume variations for assessment of cardiac responsiveness to volume loading in mechanically ventilated patients after cardiac surgery.Intensive Care Med，2002，28：392-398.
23. Perner A，Faber T.Stroke volume variation does not predict fluid responsiveness in patients with septic shock on pressure support ventilation.Acta Anaesthesiol Scand，2006，50：1068-1073.
24. Heenen S，De Backer D，Vincent JL.How can the response to volume expansion in patients with spontaneous respiratory movements be predicted? Crit Care，2006，10：R102.
25. Reuter DA，Bayerlein J，Goepfert MS，et al.Influence of tidal volume on left ventricular stroke volume variation measured by pulse contour analysis in mechanically ventilated patients.Intensive Care Med，2003，29：476-480.
26. Backer DD，Heenen S，Piagnerelli M，et al.Pulse pressure variations to predict fluid responsiveness：influence of tidal volume.Intensive Care Med，2005，31：517-523.
27. Renner J，Cavus E，Meybohm P，et al.Stroke volume variation during hemorrhage and after fluid loading：impact of different tidal volumes.Acta Anaesthesiol Scand，2007，51：538-544.

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驗證治療措施的公平——高質量研究促進高質量衛生保健（Ⅴ）

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功能性血流動力學監測

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《中國呼吸與危重監護雜志》

功能性血流動力學監測

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