新生儿重症监护病房内常规开展重症超声的必要性

刘敬, 郭雅丽

中国当代儿科杂志 ›› 2026, Vol. 28 ›› Issue (2) : 147-151.

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中国当代儿科杂志 ›› 2026, Vol. 28 ›› Issue (2) : 147-151. DOI: 10.7499/j.issn.1008-8830.2504200
专家述评

新生儿重症监护病房内常规开展重症超声的必要性

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The necessity of routine use of critical care ultrasound in neonatal intensive care units

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文章历史 +

摘要

床旁重症超声在危重新生儿救治中发挥了越来越重要的作用,但在我国并未受到足够重视,更未广泛开展。为了更好推动这一技术在我国新生儿领域的应用和开展,紧跟时代潮流,顺应超声与临床融合发展之大趋势,更好地承担起新时代新生儿重症救治重任,特撰写此述评,介绍在新生儿重症监护病房内常规开展重症超声的必要性。

Abstract

Point-of-care critical care ultrasound plays an increasingly important role in the management of critically ill neonates. Nevertheless, it has not received sufficient attention or been widely implemented in China. To promote the adoption and development of this technology in neonatal care in China, to keep pace with the ongoing integration of ultrasound into clinical practice, and to better meet the demands of contemporary neonatal critical care, this commentary elucidates the necessity of routine use of critical care ultrasound in neonatal intensive care units.

关键词

重症超声 / 重症疾病 / 新生儿重症监护病房 / 新生儿

Key words

Critical care ultrasound / Critical illness / Neonatal intensive care unit / Neonate

引用本文

导出引用
刘敬, 郭雅丽. 新生儿重症监护病房内常规开展重症超声的必要性[J]. 中国当代儿科杂志. 2026, 28(2): 147-151 https://doi.org/10.7499/j.issn.1008-8830.2504200
Jing LIU, Ya-Li GUO. The necessity of routine use of critical care ultrasound in neonatal intensive care units[J]. Chinese Journal of Contemporary Pediatrics. 2026, 28(2): 147-151 https://doi.org/10.7499/j.issn.1008-8830.2504200

参考文献

[1]
刘敬. 新生儿重症超声医学[M]. 郑州: 河南科学技术出版社, 2025.
[2]
Liu J, Qiu RX, Li JJ, et al. Clinical characteristics, diagnosis and management of neonatal stroke[J]. Iran J Pediatr, 2018, 28(5): e64332. DOI: 10.5812/ijp.64332 .
[3]
Liu J, Gao YQ, Fu W. Ultrasound findings and specific intrinsic blood volume expansion therapy for neonatal capillary leak syndrome: report from a multicenter prospective self-control study[J]. Eur J Med Res, 2024, 29(1): 150. PMCID: PMC10908005. DOI: 10.1186/s40001-024-01738-2 .
[4]
刘敬, 张丽, 高月乔. 被忽视而常见的新生儿脑损伤危险因素[J]. 中华实用儿科临床杂志, 2020, 35(23): 1761-1765. DOI: 10.3760/cma.j.cn101070-20201014-01614 .
[5]
Liu J, Gao YQ. Myocardial edema: a rare but specific manifestation of neonatal capillary leak syndrome[J]. Diagnostics (Basel), 2023, 13(23): 3597. PMCID: PMC10706485. DOI: 10.3390/diagnostics13233597 .
[6]
Liu J, Guo YL, Ren XL. No critical ultrasound, no life: the value of point-of care critical ultrasound in the rescue of critically ill infants[J]. Diagnostics (Basel), 2023, 13(24): 3624. PMCID: PMC10743008. DOI: 10.3390/diagnostics13243624 .
[7]
刘敬, 曹海英, 程秀永. 新生儿肺脏疾病超声诊断学[M]. 2版. 郑州: 河南科学技术出版社, 2019.
[8]
Liu J, Fu W, Qin SJ. Lung ultrasound to guide the administration of exogenous pulmonary surfactant in respiratory distress syndrome of newborn infants: a retrospective investigation study[J]. Front Pediatr, 2022, 10: 952315. PMCID: PMC9635001. DOI: 10.3389/fped.2022.952315 .
[9]
Liu J, Zhang X, Wang Y, et al. The outcome- or cost-effectiveness analysis of LUS-based care or CXR-based care of neonatal lung diseases: the clinical practice evidence from a level Ⅲ NICU in China[J]. Diagnostics (Basel), 2022, 12(11): 2790. PMCID: PMC9689125. DOI: 10.3390/diagnostics12112790 .
[10]
刘敬. 超声监测下管理肺疾病: 或使早产儿支气管肺发育不良成为可避免的疾病[J]. 中国当代儿科杂志, 2024, 26(1): 14-18. PMCID: PMC10817729. DOI: 10.7499/j.issn.1008-8830.2309120 .
[11]
Liu J, Guo YL, Ren XL. The roles of point-of-care lung ultrasound in saving the life of neonates with rapidly deteriorative critical lung diseases[J]. Chest, 2024, 166(2): e51-e56. DOI: 10.1016/j.chest.2024.02.005 .
[12]
Liu J, Lovrenski J, Ye Hlaing A, et al. Neonatal lung diseases: lung ultrasound or chest X-ray[J]. J Matern Fetal Neonatal Med, 2021, 34(7): 1177-1182. DOI: 10.1080/14767058.2019.1623198 .
[13]
Gao YQ, Qiu RX, Liu J, et al. Lung ultrasound completely replaced chest X-ray for diagnosing neonatal lung diseases: a 3-year clinical practice report from a neonatal intensive care unit in China[J]. J Matern Fetal Neonatal Med, 2022, 35(18): 3565-3572. DOI: 10.1080/14767058.2020.1830369 .
[14]
Briana D, Malamitsi-Puchner A, Di Renzo GC. Using ultrasound instead of X-ray to diagnose neonatal lung disease: an important milestone in the development of neonatal medicine[J]. J Matern Fetal Neonatal Med, 2024, 37(1): 2311097. DOI: 10.1080/14767058.2024.2311097 .
[15]
刘敬, 魏华莉, 赵会荣, 等. 新生儿骨折的超声诊断[J]. 中华围产医学杂志, 2020, 23(4): 245-248. DOI: 10.3760/cma.j.cn113903-20190725-00459 .
[16]
Liu J, Zhang L, Qiu RX. Ultrasound instead of X-ray to diagnose neonatal fractures: a feasibility study based on a case series[J]. Front Pediatr, 2022, 10: 847776. PMCID: PMC9178103. DOI: 10.3389/fped.2022.847776 .
[17]
Orso D, Paoli I, Piani T, et al. Accuracy of ultrasonographic measurements of inferior vena cava to determine fluid responsiveness: a systematic review and meta-analysis[J]. J Intensive Care Med, 2020, 35(4): 354-363. DOI: 10.1177/0885066617752308 .
[18]
Marik PE. Fluid responsiveness and the six guiding principles of fluid resuscitation[J]. Crit Care Med, 2016, 44(10): 1920-1922. DOI: 10.1097/CCM.0000000000001483 .
[19]
Inci K, Gürsel G. Accuracy of pocket-sized ultrasound devices to evaluate inferior vena cava diameter and variability in critically ill patients[J]. Indian J Crit Care Med, 2024, 28(4): 369-374. PMCID: PMC10998516. DOI: 10.5005/jp-journals-10071-24674 .
[20]
Cardozo Júnior LCM, Lemos GSD, Besen BAMP. Fluid responsiveness assessment using inferior vena cava collapsibility among spontaneously breathing patients: systematic review and meta-analysis[J]. Med Intensiva (Engl Ed), 2023, 47(2): 90-98. DOI: 10.1016/j.medine.2021.12.018 .
[21]
Ghosh S, Padhi R, Sahu S, et al. Use of inferior vena cava guided fluid therapy in the treatment of septic shock: a randomised controlled trial[J]. J Infect Dev Ctries, 2024, 18(1): 75-81. DOI: 10.3855/jidc.18489 .
[22]
Sharma D, Farahbakhsh N, Tabatabaii SA. Role of ultrasound for central catheter tip localization in neonates: a review of the current evidence[J]. J Matern Fetal Neonatal Med, 2019, 32(14): 2429-2437. DOI: 10.1080/14767058.2018.1437135 .
[23]
任晓玲, 陈亚娟, 刘敬, 等. 超声监测在新生儿经皮外周静脉置入中心静脉导管尖端定位中的应用[J]. 中华实用儿科临床杂志, 2019, 34(18): 1398-1401. DOI: 10.3760/cma.j.issn.2095-428x.2019.18.010 .
[24]
Ren XL, Li HL, Liu J, et al. Ultrasound to localize the peripherally inserted central catheter tip position in newborn infants[J]. Am J Perinatol, 2021, 38(2): 122-125. DOI: 10.1055/s-0039-1694760 .
[25]
任晓玲, 陈亚娟, 刘敬, 等. 新生儿经外周置入中心静脉导管尖端位置超声定位技术的改进[J]. 中华实用儿科临床杂志, 2021, 36(24): 1896-1899. DOI: 10.3760/cma.j.cn101070-20210604-00642 .
[26]
Ren XL, Wang M, Wei YR, et al. Ultrasound to guided epicutaneo-caval catheter insertion in newborn infants[J]. Front Pediatr, 2022, 10: 1022796. PMCID: PMC9720736. DOI: 10.3389/fped.2022.1022796 .
[27]
Grasso F, Capasso A, Pacella D, et al. Ultrasound guided catheter tip location in neonates: a prospective cohort study[J]. J Pediatr, 2022, 244: 86-91.e2. DOI: 10.1016/j.jpeds.2021.12.059 .
[28]
亚太卫生健康协会儿科医学分会, 亚欧儿童新生儿重症超声研究会, 北京整合医学学会新生儿重症医学分会, 等. 床旁超声指导新生儿经外周静脉置入中心静脉穿刺术临床实践指南(2026)[J]. 中国当代儿科杂志, 2026, 27(2): 135-146.

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