Price Ali S, Leech Stephen J, Sierzenski Paul R
Department of Emergency Medicine, Christiana Care Health System, P.O. Box 6001, Newark, DE 19718, USA.
J Emerg Med. 2006 May;30(4):415-9. doi: 10.1016/j.jemermed.2005.07.012.
Cardiac tamponade is a life-threatening process that must be diagnosed and treated in a timely fashion. As blood fills the pericardial sac, right ventricular filling is impeded and cardiac output is diminished, ultimately leading to cardiovascular collapse. Fortunately, emergency ultrasonography has improved the way we manage these patients today. In this report, we discuss a patient with hypotension and tachycardia who was found to have a massive loculated posterior pericardial effusion with impending cardiac tamponade. The diagnosis and appropriate treatment of this patient were rapidly ascertained with the use of bedside echocardiography. We review the literature on emergency ultrasonography, and consider the numerous instances in which emergency echocardiography can be life-saving.
心脏压塞是一种危及生命的情况，必须及时诊断和治疗。当血液积聚在心包腔内时，右心室充盈受阻，心输出量减少，最终导致心血管系统衰竭。幸运的是，急诊超声检查改善了我们如今处理这些患者的方式。在本报告中，我们讨论了一名患有低血压和心动过速的患者，该患者被发现有大量局限性心包后积液，并有即将发生心脏压塞的可能。通过床边超声心动图迅速明确了该患者的诊断并给予了恰当治疗。我们回顾了有关急诊超声检查的文献，并考虑了急诊超声心动图可挽救生命的众多情况。
