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急诊医生床边超声诊断小儿肠套叠:一例报告

Diagnosis of pediatric intussusception by an emergency physician-performed bedside ultrasound: a case report.

作者信息

Kairam Neeraja, Kaiafis Costas, Shih Richard

机构信息

Department of Emergency Medicine, Morristown Memorial Hospital, Morristown, NJ 07962, USA.

出版信息

Pediatr Emerg Care. 2009 Mar;25(3):177-80. doi: 10.1097/PEC.0b013e31819a8a46.

Abstract

The past decade has seen a rapid evolution in the use of bedside ultrasound (BUS) in the emergency department (ED). In addition, it has been increasingly used in the pediatric population for a variety of indications. As ED BUS is a relatively new modality in pediatric emergency medicine, novel indications are increasingly being recognized. We report a case of a 9-month-old infant who presented with signs and symptoms suggestive of intussusception, whose diagnosis was made using ED BUS in the pediatric ED. Knowledge of the sonographic appearance of intussusception can aid the emergency physician in the prompt diagnosis of this condition while potentially minimizing complications that may result from a delay in diagnosis.

摘要

在过去十年中,急诊科(ED)床边超声(BUS)的应用迅速发展。此外,它在儿科人群中用于各种适应症的情况也越来越多。由于急诊床边超声在儿科急诊医学中是一种相对较新的检查方式,新的适应症越来越多地被认识到。我们报告一例9个月大婴儿,其出现提示肠套叠的体征和症状,在儿科急诊科通过急诊床边超声做出了诊断。了解肠套叠的超声表现有助于急诊医生及时诊断这种疾病,同时可能将因诊断延迟而导致的并发症降至最低。

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