Simpson N, Orford N
Intensive Care Unit, The Geelong Hospital, Geelong, Victoria.
Crit Care Resusc. 2006 Mar;8(1):31-5.
We describe a case of abrupt cardiac arrest in an 80 year old woman. Emergent transoesophageal echocardiography (TOE) helped clarify the diagnosis of pulmonary embolism, and guide management and ongoing resuscitation. This case highlights the utility of TOE in the peri-arrest setting and in the diagnosis of massive pulmonary embolism. TOE can also be useful in providing prognostic information and determining the choice of therapeutic drug treatment and vasopressor support.
我们描述了一例80岁女性突发心脏骤停的病例。急诊经食管超声心动图(TOE)有助于明确肺栓塞的诊断,并指导治疗及持续的复苏工作。该病例凸显了TOE在心脏骤停围术期及大面积肺栓塞诊断中的作用。TOE在提供预后信息以及确定治疗性药物治疗和血管活性药物支持的选择方面也可能有用。