Прикроватная ультрасонография при дифференциальной диагностике и персонифицированном лечении шока неясного генеза

Артериальная гипотензия и шок не ясного генеза являются частой причиной госпитализации пациентов в отделение реанимации, характеризуются большими фармакоэкономическими затратами и высокой летальностью. Эффективность лечения пациентов с шоком определяется своевременным и правильным выявлением ведущих причин его развития и реализацией персонифицированной терапии. Дифференциальная диагностика шока часто возможна при анализе клинических, лабораторных и не инвазивных инструментальных данных. Эхокардиография сегодня является незаменимым инструментом для ургентной и плановой оценки состояния сердечно- сосудистой системы, которая позволяет быстро получить информацию об анатомии, физиологии и причинах развития сердечно- сосудистой недостаточности. Использование качественных, опирающихся только на 2D-визуализацию методов ультрасонографии существенно расширяет диагностические возможности. Однако для точной диагностики требуется использование более продвинутых, полуколичественных или количественных методов ультрасонографии, которые помогут выявить ведущие механизмы патогенеза шока, что позволит клиницисту реализовать персонализированный принцип лечении данного контингента пациентов.

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