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坐位时经胸超声心动图的聚焦评估:两例挽救生命的病例。

Focus-assessed transthoracic echocardiography in the sitting position: two life-saving cases.

作者信息

Frederiksen C A, Knudsen L, Juhl-Olsen P, Sloth E

机构信息

Department of Anaesthesiology and Intensive Care, Aarhus University Hospital, Skejby, Denmark Institute of Clinical Medicine, Faculty of Health Sciences, Aarhus University, Aarhus, Denmark.

出版信息

Acta Anaesthesiol Scand. 2011 Jan;55(1):126-9. doi: 10.1111/j.1399-6576.2010.02330.x. Epub 2010 Oct 29.

DOI:10.1111/j.1399-6576.2010.02330.x
PMID:21039360
Abstract

Focus-Assessed Transthoracic Echocardiography (FATE) is a point-of-care ultrasound protocol allowing the fast evaluation of the cardio-pulmonary status. It has been well established that patients with an exacerbation of chronic obstructive lung disease and lung oedema benefit from the sitting position. These and other medical emergency situations may prevent patients from attaining the supine position, thus precluding standard echocardiography. Portable ultrasound machines with a wide range of different probes are now available at limited costs. This allows the physician to bring point-of-care ultrasound to the patient in almost any location. We present two cases of severely ill patients where FATE was performed in the sitting position with decisive impact on subsequent therapy.

摘要

聚焦评估经胸超声心动图(FATE)是一种床旁超声检查方案,可快速评估心肺状况。慢性阻塞性肺疾病加重和肺水肿患者采用坐位有益,这一点已得到充分证实。这些以及其他医疗紧急情况可能使患者无法采取仰卧位,从而无法进行标准超声心动图检查。现在,成本有限就可以买到配备各种不同探头的便携式超声仪。这使得医生几乎可以在任何地点为患者进行床旁超声检查。我们介绍两例重症患者的病例,在这两例中,FATE是在坐位下进行的,对后续治疗产生了决定性影响。

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