协和医学杂志2026，Vol.17Issue(1)：73-85,13.DOI:10.12290/xhyxzz.2025-1204
重症血流动力学监测技术应用规范
Standards for the Application of Hemodynamic Monitoring Technology in Critical Care
摘要
Abstract
With the rapid advancement of hemodynamic indices and monitoring technologies,their classi-fication methods and application processes have become increasingly complex.Currently,no unified standard has been established,making it difficult to fully meet the clinical requirements for hemodynamic management.To as-sist in hemodynamic monitoring assessment and therapeutic decision-making in critically ill patients,the Critical Hemodynamic Therapy Collaborative Group,in conjunction with the Critical Ultrasound Study Group,has jointly developed the Standard for the Application of Hemodynamic Monitoring Techniques in Critical Care.The first part of this standard systematically categorizes hemodynamic indicators into flow indicators,pressure and its derivative indicators,and tissue perfusion indicators,while elaborating on the clinical application of each.The second part establishes a standardized clinical implementation pathway for hemodynamic monitoring.It proposes a tiered moni-toring strategy-comprising basic,advanced,indication-specific,and special scenario monitoring-tailored to differ-ent clinical settings.It emphasizes the central role of critical care ultrasound across all levels of monitoring and es-tablishes hemodynamic assessment standards for organs such as the brain,kidneys,and gastrointestinal tract.This standard aims to provide a unified framework for clinical practice,teaching,training,and research in critical care medicine,thereby promoting standardized development within the discipline.关键词
急性循环衰竭/重症血流动力学监测/指标分类/规范化实施流程Key words
acute circulatory failure/hemodynamic monitoring in critical care/indicator classification/standardized imple-mentation process分类
医药卫生引用本文复制引用
赵华,王欣晨,王翠,周高生,王小亭,重症血流动力学治疗协作组,重症超声研究组,张宏民,丁欣,陈焕,段军,杜微,汤铂,周元凯,李冬凯..重症血流动力学监测技术应用规范[J].协和医学杂志,2026,17(1):73-85,13.基金项目
首都临床技术研究及转化应用(Z201100005520038) Capital Clinic Research and Demonstration Application of Diagnosis and Treatment Project(Z201100005520038) （Z201100005520038）
