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床旁超声诊断导管相关性心房血栓

Point-of-Care Ultrasound Diagnosis of a Catheter-Associated Atrial Thrombus.

作者信息

Nelson Erica L, Greenwood-Ericksen Margaret, Frasure Sarah E

机构信息

Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts.

出版信息

J Emerg Med. 2016 Feb;50(2):e75-7. doi: 10.1016/j.jemermed.2015.06.063. Epub 2015 Sep 26.

DOI:10.1016/j.jemermed.2015.06.063
PMID:26409679
Abstract

BACKGROUND

Emergency physicians can utilize point-of-care thoracic ultrasound to aid in the diagnosis of a variety of cardiovascular and respiratory complaints.

CASE REPORT

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.

摘要

背景

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。

病例报告

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。

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1
Point-of-Care Ultrasound Diagnosis of a Catheter-Associated Atrial Thrombus.床旁超声诊断导管相关性心房血栓
J Emerg Med. 2016 Feb;50(2):e75-7. doi: 10.1016/j.jemermed.2015.06.063. Epub 2015 Sep 26.
2
Right atrial mass associated with a dialysis catheter.与透析导管相关的右心房肿物
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The Dilemma in Treatment of hemodialysis patients with catheter-induced right atrial thrombi (CRAT): A case report.血液透析患者导管相关性右心房血栓形成(CRAT)治疗中的困境:一例报告
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"We have a tenant" a right atrial thrombus related to a central catheter.我们有一位租户,他的中心静脉导管相关右心房有血栓。
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Right atrial thrombi complicating use of central venous catheters in hemodialysis.血液透析中使用中心静脉导管并发右心房血栓形成。
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Hemodialysis catheter: induced giant right atrial thrombus.血液透析导管:诱发巨大右心房血栓形成。
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Multidetector row CT diagnosis of an infected right atrial thrombus following repeated dialysis catheter placement.多排螺旋 CT 诊断反复放置透析导管后感染的右心房血栓。
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[Hemodialysis catheter-associated apposition thrombus in the right atrium].[右心房血液透析导管相关贴壁血栓]
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Asymptomatic Hypotension in a Patient with Catheter-related Right Atrial Thrombus.一名患有导管相关右心房血栓的患者出现无症状性低血压。
Clin Pract Cases Emerg Med. 2018 Jan 9;2(1):26-30. doi: 10.5811/cpcem.2017.10.35608. eCollection 2018 Feb.