Nelson Erica L, Greenwood-Ericksen Margaret, Frasure Sarah E
Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
J Emerg Med. 2016 Feb;50(2):e75-7. doi: 10.1016/j.jemermed.2015.06.063. Epub 2015 Sep 26.
Emergency physicians can utilize point-of-care thoracic ultrasound to aid in the diagnosis of a variety of cardiovascular and respiratory complaints.
An emergency physician utilized point-of-care cardiac ultrasound to identify catheter-associated atrial thrombi in a hemodialysis patient presenting with dyspnea. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Based on this case, point-of-care ultrasound can be utilized in patients with central venous catheters, to identify intracardiac thrombi as the cause of dyspnea, thereby facilitating appropriate consultation and treatment.
急诊医生可利用床旁胸部超声辅助诊断多种心血管和呼吸系统疾病。
一名急诊医生利用床旁心脏超声,在一名因呼吸困难就诊的血液透析患者中发现了导管相关的心房血栓。
急诊医生为何应知晓此事?:基于该病例,床旁超声可用于中心静脉置管患者,以识别心内血栓作为呼吸困难的原因,从而便于进行适当的会诊和治疗。