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急诊科对未确诊的完全性内脏反位患者进行心肺复苏：重症医学专家面临的挑战。

Cardiopulmonary resuscitation in undiagnosed situs inversus totalis in emergency department: An intensivist challenge.

作者信息

Samanta Sukhen, Samanta Sujay, Ghatak Tanmoy

机构信息

Department of Critical Care Medicine, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

出版信息

Saudi J Anaesth. 2013 Jul;7(3):347-9. doi: 10.4103/1658-354X.115335.

DOI:10.4103/1658-354X.115335
PMID:24015144
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3757814/
Abstract

Situs inversus totalis is a rare congenital condition. A 34-year-old woman with undiagnosed situs inversus was referred to our emergency department with cardiac arrested state. She underwent cardiopulmonary resuscitation (CPR) and defibrillation with a modified approach. We faced different challenging aspects during intensive care management. Ultrasonography in CPR in our patient was very helpful. We restricted our discussion on special aspect of SIT in emergency and intensive care unit.

摘要

完全性内脏反位是一种罕见的先天性疾病。一名34岁未被诊断出内脏反位的女性因心脏骤停状态被转诊至我们的急诊科。她接受了改良方法的心肺复苏（CPR）和除颤。在重症监护管理期间，我们面临着不同的挑战性问题。超声检查在我们这位患者的心肺复苏中非常有用。我们将讨论局限于急诊和重症监护病房中内脏反位的特殊方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc0a/3757814/ff2ba4152880/SJA-7-347-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc0a/3757814/c263633320d5/SJA-7-347-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc0a/3757814/7f18106853ce/SJA-7-347-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc0a/3757814/ff2ba4152880/SJA-7-347-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc0a/3757814/c263633320d5/SJA-7-347-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc0a/3757814/7f18106853ce/SJA-7-347-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc0a/3757814/ff2ba4152880/SJA-7-347-g003.jpg

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本文引用的文献

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Part 12: cardiac arrest in special situations: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.第12部分：特殊情况下的心脏骤停：2010年美国心脏协会心肺复苏及心血管急救指南
Circulation. 2010 Nov 2;122(18 Suppl 3):S829-61. doi: 10.1161/CIRCULATIONAHA.110.971069.
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Anaesthetic considerations in Kartagener's syndrome -- a case report.卡塔格内综合征的麻醉考量——病例报告
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Anaesthesia for Kartagener's syndrome.
卡塔格内综合征的麻醉
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Atypical cholinesterase in a patient with situs inversus totalis.
Anesthesiology. 1995 Oct;83(4):881. doi: 10.1097/00000542-199510000-00038.