BILL策略：重症心脏超声操作及解读中需要注意的问题

张宏民; 廉慧; 王小亭

doi:10.24920/004357

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BILL策略：重症心脏超声操作及解读中需要注意的问题

中国医学科学杂志（英文） 2024年39卷第3期页码：226-232

观点 | Updated：2025-03-07

- BILL策略：重症心脏超声操作及解读中需要注意的问题
- Affiliations：
  
  1.Department of Health Care, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  2.Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
- Author bio：
  
  王小亭 E-mail：syzzyx2015@sina.com
- Funds：
  
  Supported by the Beijing Critical Care Ultrasonography Research Association Ultrasound Specialized Research Project(2022-CCUSG-A-01);the National High-Level Hospital Clinical Research Funding(2022-PUMCH-B-026)
- DOI：10.24920/004357
  中图分类号：
- 收稿日期：2024-03-12，
  
  录用日期：2024-08-19，
  
  网络出版日期：2024-09-15，
  
  纸质出版日期：2024-09-30
- Accepted：
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张宏民,廉慧,王小亭.BILL策略：重症心脏超声操作及解读中需要注意的问题[J]. 中国医学科学杂志（英文）,2024,39(03):226-232.

Zhang Hong-Min,Lian Hui,Wang Xiao-Ting.BILL Strategy: Points to Consider During the Performance and Interpretation of Critical Care Echocardiography[J].Chinese Medical Sciences Journal,2024,39(03):226-232.
张宏民,廉慧,王小亭.BILL策略：重症心脏超声操作及解读中需要注意的问题[J]. 中国医学科学杂志（英文）,2024,39(03):226-232. DOI： 10.24920/004357.

Zhang Hong-Min,Lian Hui,Wang Xiao-Ting.BILL Strategy: Points to Consider During the Performance and Interpretation of Critical Care Echocardiography[J].Chinese Medical Sciences Journal,2024,39(03):226-232. DOI： 10.24920/004357.

摘要

为保证重症心脏超声的准确应用，在进行操作前和操作过程中临床医生对需要对重症病人的临床情况进行精细的解读。对临床情况解读的过程可以降低对重要超声信息的忽略或错误解读。本文提供了一个“BILL”策略以便更好的完成重症心脏超声的过程，其中“B”指的是呼吸、循环的基线支持条件；“I”指的是通过有创监测获得的信息，包括中心静脉压以及热稀释法获得的心输出量等指标；第一个“L”指的是化验指标，包括中心静脉血氧饱和度、肌钙蛋白、脑钠肽等；第二个“L”指的是肺部超声信息。通过将“BILL”策略与重症心脏超声结合，有助于更好地理解重症状态，提高诊断准确性并进而改善重症患者的结局。

Abstract

The growing utilization of critical care echocardiography (CCE) by clinicians necessitates a meticulous review of clinical conditions in critically ill patients

both before and during the examination. The reviewing process of clinical conditions minimizes the risk of overlooking or misinterpreting crucial findings. This article proposes a comprehensive strategy

namely BILL strategy

to integrate into the CCE protocol

where "B" represents baseline respiratory and hemodynamic support

"I" signifies information gleaned from invasive monitoring

including central venous pressure and thermodilution-derived cardiac output

the first "L" denotes laboratory results such as central venous oxygen saturation

troponin

and brain natriuretic peptide

and the second "L" refers to lung ultrasound data. Combining the BILL strategy with CCE can enhance comprehensive understanding of critical conditions

potentially leading to improved diagnostic accuracy and patient outcomes.

关键词

Keywords

references

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