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腹主动脉瘤急性血栓形成的超声诊断:病例报告

Ultrasound diagnosis of acute thrombosis of an abdominal aortic aneurysm: a case report.

作者信息

Zaremba Joseph A, Nomura Jason T

机构信息

Department of Emergency Medicine, Christiana Care Health System, Newark, DE 19718, USA.

出版信息

J Emerg Med. 2012 Apr;42(4):437-9. doi: 10.1016/j.jemermed.2011.05.063. Epub 2011 Aug 25.

DOI:10.1016/j.jemermed.2011.05.063
PMID:21871765
Abstract

BACKGROUND

Point-of-care ultrasound is an effective and reliable method to diagnosis the presence of an abdominal aortic aneurysm. However, there has been limited literature regarding ultrasound diagnosis of acute aortic thrombosis.

OBJECTIVE

Discuss a patient case with acute aortic thrombosis diagnosed by point-of-care emergency ultrasound. Review common etiologies and treatment options in this rare diagnosis.

CASE REPORT

A patient with a known abdominal aortic aneurysm presented with mottled lower extremities. Point-of-care ultrasound was utilized by her physicians to diagnose acute thrombosis of her abdominal aorta. With conservative treatment the patient survived to hospital discharge.

CONCLUSION

Aortic thrombosis is a rare and devastating problem that can be diagnosed with point-of-care ultrasound.

摘要

背景

床旁超声是诊断腹主动脉瘤的一种有效且可靠的方法。然而,关于超声诊断急性主动脉血栓形成的文献有限。

目的

讨论一例通过床旁急诊超声诊断为急性主动脉血栓形成的病例。回顾这种罕见诊断的常见病因和治疗选择。

病例报告

一名已知患有腹主动脉瘤的患者出现下肢斑驳。其医生使用床旁超声诊断出腹主动脉急性血栓形成。经过保守治疗,患者存活至出院。

结论

主动脉血栓形成是一个罕见且严重的问题,可通过床旁超声进行诊断。

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Aortic dissection and thrombosis diagnosed by emergency ultrasound in a patient with leg pain and paralysis.一名腿痛和瘫痪患者经急诊超声诊断为主动脉夹层和血栓形成。
Case Rep Vasc Med. 2013;2013:490126. doi: 10.1155/2013/490126. Epub 2013 Jan 31.