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资源有限环境下的即时超声:诊断肠套叠

Point-of-care ultrasound in a resource-limited setting: diagnosing intussusception.

作者信息

Gingrich Aaron S, Saul Turandot, Lewiss Resa E

机构信息

Division of Emergency Ultrasound, Department of Emergency Medicine, St. Luke's/Roosevelt Hospital Center, New York, New York 10019, USA.

出版信息

J Emerg Med. 2013 Sep;45(3):e67-70. doi: 10.1016/j.jemermed.2013.03.030. Epub 2013 Jun 15.

DOI:10.1016/j.jemermed.2013.03.030
PMID:23777777
Abstract

BACKGROUND

Department of Radiology performed ultrasound for patients suspected of having intussusception in resource-limited settings might be either unavailable or significantly time delayed.

OBJECTIVE

Our objective was to present a case of intussusception successfully diagnosed by point-of-care ultrasound and to review the sonographic appearance and diagnostic criteria for intussusception.

CASE REPORT

An emergency physician utilized point-of-care ultrasound to diagnose intussusception in a young patient in Haiti.

CONCLUSIONS

In resource-limited settings, point-of-care ultrasound performed by a physician trained to diagnose intussusception can reduce the time to definitive management and thereby potentially reduce complications such as bowel ischemia and necrosis, dehydration, and sepsis.

摘要

背景

在资源有限的环境中,放射科为疑似肠套叠的患者进行超声检查可能无法进行或会显著延迟。

目的

我们的目的是介绍一例通过床旁超声成功诊断肠套叠的病例,并回顾肠套叠的超声表现及诊断标准。

病例报告

一名急诊医生在海地利用床旁超声诊断了一名年轻患者的肠套叠。

结论

在资源有限的环境中,由接受过肠套叠诊断培训的医生进行床旁超声检查可以缩短明确治疗的时间,从而有可能减少诸如肠缺血和坏死、脱水及败血症等并发症。

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J Emerg Med. 2013 Sep;45(3):e67-70. doi: 10.1016/j.jemermed.2013.03.030. Epub 2013 Jun 15.
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