战疫重症的Venue| 超声战法

admin · 发表于 2020-10-14 12:47:50

                  <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><p><em><span>中南大学湘雅医院重症医学科主任张丽娜主任在接受采访时表示：在武汉抗疫前线的日子，遭遇到的是主持ICU病房以来最极端的状况。<br  /></span></em></p><p><br  /></p><p><span>张丽娜主任一个月前随中南大学湘雅医院医疗队来到武汉疫情前线，与4名重症医生，7名重症医学护士接管了武汉华中科技大学协和西院区的一个重症病房，并与协和、中山的三位医生展开合作，共同负责一个联合病房。</span></p><p><br  /></p><p><p><img src="image/20201014/b8678c3a6d8271b5af69faa2a88036e6_2.jpg" /></p></p><p><br  /></p><section powered-by="gulangu"><p><span>湘雅医疗队接管的重症病房，是在眼科病房的基础上临时改建成的。无论医疗设备还是人员配置，都和危重病人集中救治的需求差距甚远。加之必须穿戴的全套防护装备，极易导致呼吸不畅、视线不清、体力不支。部分医学设备也在这种特殊使用环境下无法正常使用。</span></p><p><br  /></p></section><section powered-by="gulangu"><p><span>医护资源捉襟见肘、设备应用障碍、非常规救治环境对体能和脑力的极大消耗等等，都是抗疫前线ICU病房医护人员面临的挑战，而针对新冠重症病房无法使用有创血流动力学监测设备进行循环呼吸评估的现状，张丽娜坚定主张用超声贯穿新冠肺炎重症病人整体救治的全过程。</span></p></section><section powered-by="gulangu"><p><br  /></p><p><span>张丽娜表示，肺部超声能为肺部CT和核酸检测提供有益的补充。而更重要的是，超声能覆盖新冠重症整体救治的全程，并发挥不可替代的评估价值和干预作用：首先早期提可供病人病情发展的预警，让临床能及时干预，从而降低病人的病死率。其次，基于超声在心肺无创监测上的独特优势，在新冠肺炎病人最突出的呼吸衰竭上，能帮助临床尽早锁定病因，针对性地开展治疗，提升救治效果。</span></p></section><p><br  /></p><p><span><strong>GE急重症超声Venue?</strong></span><br  /></p><p><br  /></p><p><p><img src="image/20201014/9974cee0dda31ed2f445ac538805ea64_3.png" /></p></p><p><br  /></p><p><span>超声能够极大的方便抗疫前线ICU内的患者救治，但不是每一款超声产品的各种设计都能而目前市面有专门应对ICU病房的急重症移动超声——<span>Venue?</span>。</span></p><p><br  /></p><p><video width="100%" height="580" controls="controls"><source src="http://mpvideo.qpic.cn/tjg_3218009340_50000_017d20f669f14ae9993bfc9ac88882fe.f10002.mp4?dis_k=b79cd221c5ce0484afa75b61afae908c&dis_t=1602650869" type="video/mp4"></source></video></p><p><br  /></p><p><span>Venue?无论是在智能化的功能设计、简洁高效的操作流程上，还是在灵活移动设计、4小时待机时长、探头、线缆布局等方面，都是针对实际临床需求而进行设计的。</span></p><p><span><br  /></span></p><p><p><img src="image/20201014/797810f0b697d5e9246ff365c36713e4_4.jpg" /></p></p><p><br  /></p><p><span><span>Venue?</span>整合了人工智能神经网络算法、深度学习技术和系列自动化工具，能够帮助临床快速鉴别诊断休克类型，提升临床诊治效率，更加及时有效地挽救生命。</span></p><p><br  /></p><p><iframe src="https://v.qq.com/iframe/player.html?width=500&height=375&auto=0&vid=e307497c7gv&auto=0" width="100%" height="580" frameborder="0"></iframe></p><p><br  /></p><p><strong><span>AI技术的应用</span></strong><br  /></p><p><br  /></p><p><span>急重症临床中的核心是鉴别休克类型的挑战，基于人工智能（AI）的场馆三大自动化功能，Venue?能够让“流程化超声”技术快速转到急危重症的治疗中，使关键确诊信息的测量更加直观，从而也让医生对扫瞄更有信心。</span></p><p><br  /></p><p><p><img src="image/20201014/676f1548aac106a61d56d0c0da03fe44_5.gif" /></p></p><p><span>Venue?急重症超声在金银潭医院投入使用</span></p><p><br  /></p><p><p><img src="image/20201014/e930b4cea9804a68cff96f0070aaab82_6.gif" /></p></p><p><br  /></p><p><br  /></p><section data-role="outer" label="Powered by gulangu"><section data-tools="gulangu" data-id="92984"><section><section><section>1<br  /></section><section><section data-brushtype="text"><span>基于休克快速超声诊断流程的自动 VTI功能</span></section></section><section><br  /></section></section></section></section><section data-role="paragraph"><p><br  /></p></section></section><p><span><p><img src="image/20201014/a13b3e9fe8ddcdae98fbe8a6771ecd5c_7.jpg" /></p></span></p><p><br  /></p><p><span>针对心脏血流动力学功能评估，此功能可一键自动测量时间速度积分VTI，每搏量SV和心输出量CO，考察心脏动力是否足够输出血液至终末器官；更可以基于AI技术通过图像质量彩色指示帮助指引正确5腔心切面的采集、通过VTI趋势图快速查看治疗干预前后VTI值变化趋势，评估病情变化，有助于确定下一步的治疗方案。</span></p><p><br  /></p><p><br  /></p><section data-role="outer" label="Powered by gulangu"><section data-tools="gulangu" data-id="92984"><section><section><section> 2 </section><section><p><span>胸腹部创伤超声快速诊断流程的eFAST功能</span></p></section><section><br  /></section></section></section></section></section><p><br  /></p><p><span><p><img src="image/20201014/c6ab1079ee7f626321000e36a841f2d1_8.jpg" /></p></span></p><p><br  /></p><p><span>以往传统超声在检查胸腔时，需要医生通过探头扫查，找出每一幅带有积液病灶的图像，并手动标记和计算，按键次数和标记工作非常繁琐，对医生经验和操作都要求非常高。eFAST功能可以帮助快速发现、诊断气胸和胸腔积液，以解剖图视角显示扫查部位并自动记录、计算出关键诊断指标，直观高效；回顾eFAST检查所有图像，实现快速对比，观测病情变化。</span></p><p><br  /></p><p><span><p><img src="image/20201014/91fbd0dcc8f97cdd05797a0f4a2e3efe_9.jpg" /></p></span></p><p><br  /></p><p><span>据统计，此功能能够帮助医生在进行扫查和测量时按键次数减少80%，专注于影像诊断。（数据来源：GE医疗全球超声应用团队）</span></p><p><br  /></p><p><br  /></p><section data-role="outer" label="Powered by gulangu"><section data-tools="gulangu" data-id="92984"><section><section><section>3<br  /></section><section><section data-brushtype="text"><span>床旁肺部超声诊断流程的自动B-line功能</span></section></section><section><br  /></section></section></section></section><section data-role="paragraph"><p><br  /></p></section></section><p><span><p><img src="image/20201014/c6b28e0cb054d37c8a0abb28f4db9ad2_10.jpg" /></p></span></p><p><br  /></p><p><span>肺部积液在影像检查下显示越多的B-line则积液越多，患者危急，自动B-Lines功能可快速自动寻找B线最多的一帧图像，实时标记并计算B线数量，帮助医生观察掌握病情并快速规划治疗。</span></p><p><br  /></p><section data-role="outer" label="Powered by gulangu"><section data-role="paragraph" data-color="#757576"><section data-role="paragraph"><section><section><section data-brushtype="text"><strong>相关阅读</strong></section></section></section><section><section><br  /></section></section><section data-width="100%"><section><section><section><section data-width="100%"><section data-tools="gulangu" 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