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中华妇幼临床医学杂志(电子版) ›› 2025, Vol. 21 ›› Issue (01) : 67 -72. doi: 10.3877/cma.j.issn.1673-5250.2025.01.009

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基于床旁即时超声指导新生儿脓毒性休克救治的临床应用研究现状
陈昊1, 富建华1,()   
  1. 1. 中国医科大学附属盛京医院新生儿科,沈阳 110004
  • 收稿日期:2024-10-10 修回日期:2025-01-09 出版日期:2025-02-01
  • 通信作者: 富建华
  • 基金资助:
    辽宁省科技重大专项项目(2020JH1/10300001)

Current research status of clinical application on treatment of neonatal septic shock based on bedside real-time ultrasound

Hao Chen1, Jianhua Fu1,()   

  1. 1. Department of Neonatology,Shengjing Hospital of China Medical University,Shenyang 110004,Liaoning Province,China
  • Received:2024-10-10 Revised:2025-01-09 Published:2025-02-01
  • Corresponding author: Jianhua Fu
引用本文:

陈昊, 富建华. 基于床旁即时超声指导新生儿脓毒性休克救治的临床应用研究现状[J/OL]. 中华妇幼临床医学杂志(电子版), 2025, 21(01): 67-72.

Hao Chen, Jianhua Fu. Current research status of clinical application on treatment of neonatal septic shock based on bedside real-time ultrasound[J/OL]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2025, 21(01): 67-72.

脓毒症(sepsis)是导致新生儿死亡的重要原因之一。由于新生儿各器官、系统发育不完善,新生儿脓毒症起病急、进展迅速,易发展为脓毒性休克(septic shock),甚至导致新生儿死亡。因此,早期识别新生儿脓毒性休克,并采取有效的治疗措施,对提高脓毒性休克新生儿生存率、改善其预后至关重要。床旁即时超声(POCUS)因其实时、动态及无创等优势,已在新生儿重症监护病房(NICU)广泛开展。利用POCUS可以指导新生儿科医师对脓毒症及脓毒性休克新生儿各脏器功能进行系统评价,寻找感染病灶,评估血流动力学状态,指导液体管理和优化治疗方案等。笔者拟就POCUS早期评估脓毒症及脓毒性休克新生儿的应用最新研究进展进行阐述,旨在提升新生儿科医师对POCUS技术在新生儿脓毒症及脓毒症休克中的认识和应用水平,以期提高新生儿脓毒性休克救治能力。

Sepsis is one of the leading causes of neonatal mortality.Due to the underdeveloped organs and systems in neonates,sepsis can onset abruptly and progress rapidly,often leading to septic shock or even death of neonates.Therefore,early recognition and effective treatment are crucial for improving survival rates and outcomes of neonates with septic shock.Point-of-care ultrasound(POCUS)has been widely implemented in neonatal intensive care unit (NICU)due to its real-time,dynamic,and non-invasive advantages.Utilizing POCUS to assess various system functions,identify infectious foci,and to assess hemodynamic status can guide neonatologists in the early assessment and treatment of neonatal sepsis and septic shock.This article reviews the current research progress of advancements in the application of POCUS for early assessment of neonatal sepsis and septic shock,so as to enhance neonatologists'understanding and clinical application of POCUS technology in diagnosing and managing neonatal sepsis and septic shock,and to improve the rescue capabilities of neonatal septic shock.

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