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中华重症医学电子杂志 ›› 2019, Vol. 05 ›› Issue (04) : 297 -301. doi: 10.3877/cma.j.issn.2096-1537.2019.04.001

所属专题: 重症医学 文献

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重症监护:有的放矢,过犹不及
李文哲1, 崔建2, 于湘友2,()   
  1. 1. 200011 上海交通大学医学院附属第九人民医院普通外科
    2. 830054 乌鲁木齐,新疆医科大学第一附属医院重症医学科
  • 收稿日期:2019-08-11 出版日期:2019-11-28
  • 通信作者: 于湘友

Monitoring in intensive care: less is more

Wenzhe Li1, Jian Cui2, Xiangyou Yu2,()   

  1. 1. Department of General Surgery, Shanghai Ninth People′s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
    2. Department of Critical Care Medicine, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China
  • Received:2019-08-11 Published:2019-11-28
  • Corresponding author: Xiangyou Yu
  • About author:
    Corresponding author: Yu Xiangyou, Email:
引用本文:

李文哲, 崔建, 于湘友. 重症监护:有的放矢,过犹不及[J]. 中华重症医学电子杂志, 2019, 05(04): 297-301.

Wenzhe Li, Jian Cui, Xiangyou Yu. Monitoring in intensive care: less is more[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2019, 05(04): 297-301.

重症疾病所致的负担是医疗卫生领域的主要难题之一,医疗技术的进步使得重症医学科(ICU)中有了更多的数据为临床决策提供依据,但在追求更多的数据信息以期做出更为正确的诊疗决策的同时,应用诸多的监测手段也可能会导致临床决策难度增加,甚至会对患者造成伤害,监测的效益/风险比降低也提示存在医疗资源的浪费。本文针对影响重症监护治疗决策的相关因素进行回顾综述,以期为重症医护人员优化重症监护的临床实践提供参考。

The burden of critically ill diseases is one of the main problems in the field of medical and health care. The progress of medical technology has led to more data in the ICU to provide a basis for clinical decision-making. However, while pursuing more data and information in order to make more correct diagnosis and treatment decisions, the application of monitoring may also increase the difficulty of clinical decision-making, and even cause harm to patients. The reduction of benefit / risk ratio of monitoring also indicates that there is a waste of medical resources. In this paper, the decision-making factors of intensive care were reviewed in order to provide reference for the clinical practice of optimizing intensive care strategy for intensivists.

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