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测量儿童的视神经外直径:用于ICP评估的简单超声波协议
Bogdana Sabina Zoica1, Bipin Chalattil2
1Pediatric Intensive Care Unit, King's College Hospital, London, United Kingdom.
Frontiers in pediatrics
|February 9, 2026
概括
视神经外直径 (ONSD) 的护理点超声波测量提供了一种非侵入性方法,用于检测儿科创伤性脑损伤 (TBI) 中内压升高 (ICP). 这种技术有助于临床决策,当侵入性监测是不可行的.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 神经临界护理是指神经临界护理.
- 诊断成像诊断成像的使用
背景情况:
- 脑内压力升高 (ICP) 是儿科创伤性脑损伤 (TBI) 中的一个关键问题.
- 侵入性ICP监测,黄金标准,在儿科病例中有局限性.
- 在没有直接ICP监测的情况下,需要使用非侵入性的替代方法来管理中度TBI.
研究的目的:
- 综合目前关于使用儿童照顾点超声波 (POCUS) 测量视神经外直径 (ONSD) 的证据.
- 突出ONSD作为非侵入性ICP评估工具的诊断潜力和局限性.
- 支持儿科重症医生应用ONSD,以改善儿科TBI的临床决策.
主要方法:
- 对儿童群体的ONSD测量现有文献的审查和综合.
- 分析ONSD作为ICP的替代标记物,利用脑脊液 (CSF) 动态.
- 评估基于POCUS的ONSD评估的方法考虑和局限性.
主要成果:
- 通过POCUS进行ONSD测量是一种简单,快速和可重复的技术.
- 在儿童TBI中,ONSD显示了检测升高ICP的诊断潜力.
- 目前的临床采用受到缺乏标准化指南和规范性数据的限制.
结论:
- ONSD测量是一种有前途的非侵入性工具,用于评估儿科TBI中的ICP.
- 需要进一步的研究来建立标准化指导方针和儿科ONSD的规范性数据.
- 实施ONSD可以提高儿科TBI管理中的临床决策和预后评估.
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