以上三步法是急诊抢救状况下,右心功能的快速评估方法,可于几分钟内在对右心功能有一个较为准确的评价,进一步指导治疗方向。 随着超声技术的发展,右心室二维整体纵向应变 (RV GLS) 、右心室三维容积和射血分数测量等技术可更直观、准确的测量右心功能。 在发展新技术的同时,更应熟练掌握二维常规测量技术,便于应用在急诊条件下快速获取有用的信息。 投稿邮箱:heer897@163.com题图及文中图片来源:作者提供 参考文献:[1] Rudski LG , Lai WW , Afilalo J , et al. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography[J]. J Am Soc Echocardiogr, 2010, 23(7):685-713.[2] Calcutteea A, Chung R, Lindqvist P, et al. Differential right ventricular regional function and the effect of pulmonary hypertension: three-dimensional echo study[J]. Heart, 2011, 97(12): 1004-1011[3] Ho SY, Nihoyannopoulos P. Anatomy, echocardiography, and normal right ventricular dimensions[J]. Heart, 2006, 92(Suppl 1): 2-13.[4] Buckberg GD. The ventricular septum: the ilon of right ventricular function, and its impact on right ventricular restoration[J]. EurJCardiothorac Surg, 2006, 29(suppl 1): S272-278. [5] Haddad F, Doyle R, Murphy DJ, et al. Right ventricular function in cardiovascular disease, part Ⅱ: pathophysiology, clinical importance, and management of right ventricular failure[J]. Circulation, 2008, 117(13): 1717-1731