国际麻醉学与复苏杂志   2023, Issue (11): 3-3
    
颈动脉校正血流时间在围术期应用的研究进展
汪威廉, 彭忠钰, 梅伟1()
1.荆州市中心医院
Research progress on the application of carotid corrected flow time in the perioperative period
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摘要:

围术期液体管理是患者救治的一个重要组成部分,合适的容量状态是保证组织灌注,维护器官功能的前提条件。颈动脉校正血流时间(corrected flow time,FTc)是指通过超声获取颈动脉血流频谱,计算上升支起始处到主动脉瓣关闭重博切迹处止,经过心率校正后的时间。近年来利用超声监测颈动脉血流频谱,估算颈动脉FTc,据此评估容量状态逐渐受到临床医师的关注。颈动脉FTc在不同年龄段的人群中应用时各有其特点,其预测容量反应性的效能也存在一定区别。本文就颈动脉FTc在围术期的应用做出综述,为围术期液体管理提供参考。

关键词: 校正血流时间;超声;容量反应性
Abstract:

Perioperative fluid management is an important part of patient care. Appropriate volume status is a prerequisite for ensuring tissue perfusion and maintaining organ function. Carotid corrected flow time is the time from the beginning of the ascending branch to the notch of the aortic valve closure after heart rate correction. In recent years, using ultrasound to monitor the carotid blood flow spectrum and estimate the carotid corrected flow time has gradually attracted the attention of clinicians in evaluating the volume status. Carotid corrected flow time has its own characteristics when applied in different age groups, and its efficacy in predicting fluid responsiveness is also different. This article reviews the application of carotid corrected flow time in the perioperative period, so as to provide reference for perioperative fluid management.

Key words: Corrected flow time;Ultrasound;Volume responsiveness