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on and jugular vein distension usually orient diagnosis to the type of shock, but complex situations may exist (e.g. cardiac tamponade in a patient with trauma or septic shock in a patient with chronic heart failure) in which a diagnosis is more difficult.,第十四頁,共三十四頁。,Vincent JL, et al. N Engl J Med. 2022。369(18):172634.,第十五頁,共三十四頁。,Manifestation on Echo,梗阻性,心包填塞,第十六頁,共三十四頁。,FOCUS的測量很迅速,即使是初學(xué)者,一般時間也小于3min; FOCUS應(yīng)當(dāng)被列入重癥培訓(xùn)(p233。ix249。n)的工程中去。,Beraud AS, et al. Crit Care Med. 2022。41(8):e17981.,第十七頁,共三十四頁。,ICFoCUS 國際聚焦(j249。jiāo)心臟超聲循證建議,Via G, et al. Journal of the American Society of Echocardiography. 2022。27(7):683 e1 e33.,第十八頁,共三十四頁。,名稱確認(rèn):聚焦心臟超聲〔FoCUS〕 重點(zh242。ngdiǎn)用于生命支持的評估、復(fù)蘇的評估等。,第十九頁,共三十四頁。,FoCUS statement,Shock and Hemodynamic Instability 43. In the setting of shock, FoCUS accurately assesses global LV systolic function, when compared with comprehensive standard echocardiography. [1A: Strong Recommendation, with Very Good Agreement。 Level A Evidence] 44. In the setting of shock, FoCUS narrows the differential diagnosis. [1A: Strong Recommendatio