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复杂性细支气管炎:急诊科床边超声的另一种应用。

Complicated bronchiolitis: another use for your bedside ultrasound in the emergency department.

作者信息

Soto Fernando, Soltero Roxana, Rovira Helen

机构信息

Department of Emergency Medicine, UPR School of Medicine, Puerto Rico Health Science Center, San Juan, PR.

出版信息

Bol Asoc Med P R. 2009 Jul-Sep;101(3):51-3.

Abstract

Diaphragmatic eventration or diaphragmatic herniations are congenital defect that involve abnormal development of the diaphragm and stretching of the muscular fibers leading to protrusion of abdominal organs into the thoracic cavity. Left sided defects will lead to stomach contents into the chest cavity while, right sided defects will have bowel or liver in the thoracic cavity. Infants with Congenital diaphragmatic hernia often present with respiratory distress that can be life-threatening unless treated appropriately. Bedside ultrasound in the Emergency Department, performed by the Emergency Physician can be a very useful tool in diagnosing conditions such as this one. We present a case of diaphragmatic eventration in a two month old male sent to Emergency Department (ED) by his primary care physician due to a severe case of bronchiolitis.

摘要

膈膨出或膈疝是先天性缺陷,涉及膈肌异常发育和肌纤维拉伸,导致腹部器官突入胸腔。左侧缺陷会导致胃内容物进入胸腔,而右侧缺陷会使肠或肝脏位于胸腔内。先天性膈疝患儿常出现呼吸窘迫,除非得到适当治疗,否则可能危及生命。急诊科医生进行的床边超声检查在诊断此类病症时可能是非常有用的工具。我们报告一例两个月大男性的膈膨出病例,该患儿因严重毛细支气管炎被其初级保健医生送往急诊科。

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