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<section data-role="paragraph" data-color="rgb(182, 228, 253)" data-custom="rgb(182, 228, 253)"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section><p><p><img src="image/20201014/86b79d371e9862b01189f0252a03b2cd_1.png" /></p></p></section><section><section><span><strong></strong></span></section><p><span>医疗器械媒体报道先锋</span></p><p><span>分享专业医疗器械知识</span></p></section><section><section><section><span>关注</span></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section><p><br /></p><section powered-by="gulangu"><section><section powered-by="gulangu"><section><p><br /></p><p><br /></p><p><span>更多的私家车、更广的高铁覆盖，更发达的移动通讯网络和物流系统，这些成为我们防控疫情的双刃剑。</span><br /></p><p><br /></p><p><span>同时，公共医疗卫生体系也更强了，医疗技术和医疗设备也更先进了，尤其是那些精专细分领域，更标准化也更“智慧”的医疗设备。</span><span>它们组成本次“战疫”的“前线特攻队”，将和我们的医护人员并肩战斗，直至胜利春归神州，疫情不退绝不收队！</span></p><p><span><br /></span></p><p><span>在疫情防控关键期，GE医疗连线了奋战在武汉一线的“主力军”代表：</span><span>武汉协和医院的重症专家余愿，希望通过他获知“战疫”最前线的临床实况。</span></p></section></section><section powered-by="gulangu"><p><br /></p></section></section></section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section></section></section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section></section></section></section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><span><strong><span><br /></span></strong></span></section><section><span><strong><span>病程发展迅速</span></strong></span><br /></section><section><br /></section></section></section><section><section powered-by="gulangu"><section><p><span><strong><span>重症患者的比例直接关系到疫情的死亡率</span></strong></span><span>。</span><span>作为“一线中的一线”，武汉协和ICU、武汉金银潭医院ICU重症救治的压力极大，而余愿战斗的地方，正是这里，战斗在“战疫的暴风眼”！</span></p><p><br /></p></section></section></section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><p><img src="image/20201014/d508acd3391def06e2210c049fb642bd_2.gif" /></p></section></section></section><section><section powered-by="gulangu"><p><br /></p></section></section></section></section><section><section powered-by="gulangu"><section><p><span>面对新冠肺炎，余愿首先感慨的是：</span><span>“<span><strong>起病后，发展得太快了</strong></span>。</span><span>”一旦病情发展成危重症，可能在几个小时之内就急速恶化，严重者将会进展为急性呼吸窘迫综合征（ARDS）、休克、合并其他器官功能衰竭等，<span><strong>随时考验着医护人员的响应速度和救治效率</strong></span>。</span></p><p><br /></p><p><span>正因为如此，余愿和其他驻守武汉一线的重症医生一样，顶着生理极限，枕戈待旦。</span></p><p><br /></p></section></section></section></section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section></section></section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section></section></section></section><section powered-by="gulangu"><section><section powered-by="gulangu"><p><br /></p></section><section powered-by="gulangu"><section><br /></section><section><span><strong><span>一次大考 两道大题</span></strong></span></section></section><section powered-by="gulangu"><p><br /></p></section><section powered-by="gulangu"><section><p><span>严峻的疫情，让所有ICU值班医生的工作量都翻倍增长。</span></p><p><br /></p><p><span>以金银潭医院为例，一个大的隔离ICU里有30多名患者，都需要在最快时间内高效完成巡查，并针对症状变化的患者进行及时诊治。这无疑是对医护团队运转效率的一次“大考”。</span></p><p><br /></p><p><span>余愿为我们逐一拆解了“高效巡查”和“及时救治”两个考点的难度系数。</span></p><p><br /></p><p><span>在ICU隔离监护的新冠肺炎重症患者，需要严密关注呼吸系统、呼吸力学变化相关，以及呼吸机平台压，潮气量、血O2分压、CO2分压等血液指标。巡查的工作量极大。而在指标出现变化、患者症状剧烈时，只有依据指标快速锁定病因，才能及时、有针对性地开展救治。</span></p><p><br /></p><p><strong><span>但在疫情防治一线，医护人员身穿防护服，根本无法使用听诊器；</span><span>重症肺炎患者也无法频繁使用CT及DR进行检查，这都为指标的监测工作造成了极大障碍。</span></strong></p><p><br /></p><p><span>在这样的现实困境下，超声就成为疫情下重症科室监测患者心肺功能的“标配”。床旁肺部超声检查方案（BLUE）中明确提出，肺部超声在肺炎、气胸、肺水肿、肺栓塞等疾病鉴别方面显示了极好的结果。这无疑为泰山压顶的疫区重症科室点亮了希望。</span></p><p><br /></p><p><span>而在重症医护人员对超声设备寄予厚望的同时，<strong>全球首款急重症超声产品Venue?</strong>也临危受命，向“战疫”一线紧急出征。</span></p></section></section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><p><br /></p></section></section></section></section><section powered-by="gulangu"><section><p><img src="image/20201014/fa971c9d7fe1794bae14179f9cc0d4ed_3.gif" /></p></section></section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><span>2月10日，武汉协和ICU完成捐赠机器Venue?急重症超声的装机</span><br /></section></section></section></section><section powered-by="gulangu"><p><br /></p></section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><p><img src="image/20201014/101576d9040df34286ba5f18564defc2_4.gif" /></p></section></section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><br /></section></section></section></section></section></section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><p><img src="image/20201014/b6eeb7e05134a31571ba7af104e035bb_5.gif" /></p></section></section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><span>投入使用的Venue?急重症超声</span><br /></section></section></section></section><section powered-by="gulangu"><section><p><span><br /></span></p><p><span>由此，余愿在Venue? 急重症超声的协同之下，继续鏖战“敢同病魔争毫秒，不向疫情让半分”的重症战场。而这个熟悉的阵地上，似乎有一些变化正在发生。</span></p><p><br /></p></section></section></section></section></section></section></section></section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section></section></section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section></section></section></section><section powered-by="gulangu"><section><section powered-by="gulangu"><p><br /></p><p><span><strong>数据一部到位 救治才有可能一步到位</strong></span><br /></p></section><section powered-by="gulangu"><p><br /></p></section><section powered-by="gulangu"><section><p><span>在巡查过程中，肺部超声显现的B线数量是观察重症患者肺部严重程度的直观指标，B线数量越多，说明炎症也越重。</span><span><strong><span>而Venue? 急重症超声独有Auto B-line功能</span></strong></span><span>，可一键给出定量的肺超声B线评估数据。</span><span>余愿表示：</span><span>“</span><span><strong>在临床急救中帮了大忙</strong></span><span>。</span><span>”</span></p></section></section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><p><br /></p></section></section></section></section><section powered-by="gulangu"><section><p><img src="image/20201014/eed5b2fcc571cff1d860ab37ef91a02a_6.gif" /></p></section></section><section powered-by="gulangu"><section><p><span>这是一个典型的B线的图像：</span><span>探头是纵切，垂直于肋骨走行，两片B线区域之前是黑色肋骨声影。</span><span>两片B线也是融合的，肺水肿的情况也比较重。</span><span>在ICU联合评估上，肺超的优势很明显。</span></p></section></section></section><section><section powered-by="gulangu"><p><br /></p></section></section></section></section><section><section powered-by="gulangu"><section><p><span><strong><span>Venue? 急重症超声的快不止一面</span></strong></span><span>：</span><span>以往在传统超声上测量CO指标得要10多分钟，而用自动VTI功能的话，测量过程仅用1-2分钟。</span></p><p><br /></p><p><span>余愿曾经救治过一名60多岁的老年患者。</span><span>当时这名患者突发性呼吸急促、呼吸困难，各项指标变化剧烈。</span><span>经Venue?急重症超声胸部扫查，余愿第一时间掌握了关键指标，将病因锁定在气胸上，让患者获得了及时的救治。</span></p><p><br /></p><p><span>这次亲身经历让余愿对Venue?的实战水平更为信服，其直观、定量且标准化的特性让他兴奋不已：</span><span>“粗略估算下来，至少能让重症临床的工作效率提高一倍！</span><span>”</span></p></section></section></section></section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section></section></section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><span></span><br /></p></section></section></section></section></section><section powered-by="gulangu"><section><section powered-by="gulangu"><p><br /></p><p><strong><span>没有人有资格掉链子 设备也一样</span></strong><br /></p><p><br /></p></section></section><section><section powered-by="gulangu"><section><p><span>余愿表示，身穿防护服在ICU工作，首先要充当设备的搬运工，拖着设备到处替患者做检查。</span><span>而最糟心的是裹着防护服频繁弯腰，找插线板给设备充电。</span><span>他调侃说：</span><span>“那感觉，就像负重爬10楼一样。</span><span>”</span></p><p><br /></p><p><span>在重症科室，没人想要掉链子，但设备没电那就真没了。</span><span><strong><span>好在Venue? 急重症超声配备有四小时长续航电池</span></strong></span><span>。</span><span>“用起来方便，拉过来就扫查，”余愿说：</span><span>“不需要担心插电的问题。</span><span>”</span></p></section></section></section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section><section powered-by="gulangu"><p><br /></p></section><section powered-by="gulangu"><p><br /></p></section><section powered-by="gulangu"><p><br /></p></section><section powered-by="gulangu"><p><br /></p></section></section></section><section powered-by="gulangu"><section><p><img src="image/20201014/b081eb1e9edc163be9ee1709f512511f_7.gif" /></p></section></section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><br /></section></section></section></section><section powered-by="gulangu"><p><br /></p></section></section></section><section powered-by="gulangu"><section><p><span>此外，余愿还专门点评了Venue?的触摸屏：</span><span>“<strong>好用，戴着手套操作也很灵敏</strong>。</span><span>”他表示，越是细节的地方，越可能掣肘重症临床的成败：</span><span>“现在ICU病房真的就像战时医疗环境一样。</span><span>能节省一分钟，就可以多看护一个患者，就意味着能让重症患者多一份早日康复的希望。</span><span>”</span></p><p><br /></p><p><span>而当患者使用体外生命支持系统如体外膜氧合（ECMO）作为最后一道救治干预措施时，</span><span><strong>急重症超声几乎是唯一能判断患者自身心脏功能状态的方法</strong></span><span>，这样的不可替代性，更让Venue? 急重症超声，稳坐ICU“定海神针”的位置。</span></p><p><span><br /></span></p></section></section></section></section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section></section></section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section></section></section></section></section><section powered-by="gulangu"><section><section powered-by="gulangu"><p><br /></p><p><span><strong>做“战役”主力 向生命“出征” </strong></span><br /></p></section></section><section><section powered-by="gulangu"><p><br /></p></section><section powered-by="gulangu"><section><p><span>“重症医学的专业使命，决定了我们必将成为此次阻击新型冠状病毒感染的肺炎流行战役中的重症病人生命救治的主力军。</span><span>”这是重症医生的“战疫誓言”。</span><span>而作为专注重症医学临床场景的Venue?，更在GE团队的打磨下，成为疫区重症科室不可替代的“超级战士”。</span><span><strong><span>和重症医生并肩，为生命而战，这是Venue? 急重症超声在本次战疫中的使命</span></strong></span><span>。</span></p><p><br /></p><p><span>而在本次疫情过后，余愿也希望全国的医疗机构能够在ICU病房升级配置Venue?急重症专用超声。</span><span>让和时间赛跑、向生命出征的协同战斗，延展到每一个需要的地方。</span><span>可以激发超声应用更加细分和面向临床发展，可以在重症一线看到更多像Venue?一样，具有临床思维、整合急重症流程的专业化超声产品，协助医生挽救更多患者的生命！</span></p><p><br /></p><p><iframe src="https://v.qq.com/iframe/player.html?width=500&height=375&auto=0&vid=g3064jsu7ot&auto=0" width="100%" height="580" frameborder="0"></iframe></p><p><span>被访者提供</span></p><p><br /></p><p><a data-miniprogram-appid="wxdc7efe409d688f37" data-miniprogram-path="pages/index/index" data-miniprogram-nickname="智械采购" href="" data-miniprogram-type="image" data-miniprogram-servicetype="" href=""><p><img 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发表于 2020-10-14 12:56:35