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在儿科急诊科使用床旁肺超声对烃类肺炎患儿进行评估与监测

Evaluation and Monitoring of a Child With Hydrocarbon Pneumonitis Using Point-of-Care Lung Ultrasound in the Pediatric Emergency Department.

作者信息

Vazquez Michelle, Paul Audrey Z, Tay Ee Tein, Tsung James W

机构信息

From the *Divisions of Pediatric Emergency Medicine and †Emergency Ultrasound, Department of Emergency Medicine, Ichan School of Medicine at Mount Sinai, New York, NY.

出版信息

Pediatr Emerg Care. 2016 Sep;32(9):642-4. doi: 10.1097/PEC.0000000000000641.

Abstract

A well-appearing 3-year-old boy presented to the pediatric emergency department 2 hours after a presumed hydrocarbon ingestion. He was referred to the emergency department by his pediatrician after consultation with the local poison control center after possibly ingesting ylang ylang (Cananga odorata) fragrance oil. The child was asymptomatic with a normal physical examination. Point-of-care lung ultrasound identified focal hydrocarbon pneumonitis in the right lung and demonstrated resolution of these findings. Utilization of point-of-care ultrasound resulted in a shorter emergency department length of stay and the avoidance of radiation exposure from serial chest x-rays.

摘要

一名外表健康的3岁男孩在疑似摄入碳氢化合物2小时后被送往儿科急诊科。在可能摄入依兰依兰(香水树)香薰油后,他的儿科医生咨询了当地中毒控制中心,随后将他转诊至急诊科。该患儿无症状,体格检查正常。即时床旁肺部超声检查发现右肺有局灶性碳氢化合物肺炎,并显示这些表现有所缓解。即时床旁超声检查的应用缩短了患儿在急诊科的住院时间,并避免了因多次胸部X光检查而受到辐射。

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