超声监测用于预测中心静脉压的研究进展
Research Progress of Ultrasound Monitoring in Predicting Central Venous Pressure
DOI: 10.12677/acm.2025.15102910, PDF,    科研立项经费支持
作者: 郭 阳, 魏 珂*：重庆医科大学附属第一医院麻醉科，重庆
关键词: 中心静脉压；超声；下腔静脉；颈内静脉；CVP； Ultrasound； Inferior Vena Cava (IVC)； Internal Jugular Vein (IJV)
摘要: 目前，尚缺乏一种有效且侵入性较低的替代方法用于预测中心静脉压(Central Venous Pressure, CVP)。本综述旨在探讨超声技术作为CVP测定的潜在替代手段。近年来，多项研究评估了采用替代性或微创方法测定CVP的可行性，包括外周静脉压测量、静脉多普勒血流分析及超声心动图等。尽管这些方法与侵入性CVP测量具有一定相关性，但由于其操作复杂、设备成本较高或观察者间差异较大，目前尚无一种替代方法被广泛接受并纳入常规临床实践，用于快速评估血管内容量状态。
Abstract: At present, there is still a lack of an effective and less invasive alternative method for predicting Central Venous Pressure (CVP). The purpose of this review is to explore the use of ultrasound techniques as a potential alternative for CVP measurement. In recent years, a number of studies have evaluated the feasibility of using alternative or minimally invasive methods to measure CVP, including peripheral venous pressure measurement, venous Doppler flow analysis, and echocardiography. Although these methods have some relevance for invasive CVP measurements, none of the alternatives have been widely accepted and incorporated into routine clinical practice for rapid assessment of intravascular volume status due to their complexity, high equipment cost, or large interobserver variability.
文章引用：郭阳, 魏珂. 超声监测用于预测中心静脉压的研究进展[J]. 临床医学进展, 2025, 15(10): 1478-1486. https://doi.org/10.12677/acm.2025.15102910

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