Lyon Matthew, Brannam Larry, Ciamillo Louis, Blaivas Michael
Department of Emergency Medicine, Medical College of Georgia, Augusta, Georgia 30912-4007, USA.
J Emerg Med. 2004 Feb;26(2):193-6. doi: 10.1016/j.jemermed.2003.08.012.
Bedside ultrasound is the diagnostic method of choice for unstable patients with suspected abdominal aortic aneurysm. Its ability to provide rapid and accurate diagnosis is critical in an emergency setting. Previous studies have documented the ability of Emergency Physicians to accurately diagnose abdominal aortic aneurysms, thus potentially saving lives. A search of the medical literature did not reveal any reports of false positive abdominal aortic aneurysm diagnosis with ultrasound use. We report a case of a false positive abdominal aortic aneurysm diagnosed in a patient with a previously unknown large malignant para-aortic lymph node.
床旁超声是疑似腹主动脉瘤不稳定患者的首选诊断方法。其提供快速准确诊断的能力在紧急情况下至关重要。先前的研究记录了急诊医生准确诊断腹主动脉瘤的能力，从而有可能挽救生命。对医学文献的检索未发现使用超声诊断腹主动脉瘤出现假阳性的任何报告。我们报告一例在先前未知的大型恶性主动脉旁淋巴结患者中诊断出腹主动脉瘤假阳性的病例。
