Mesterházi András, Barta Miklós, Zubek László
Sürgősségi Betegellátó Osztály, Markusovszky Egyetemi Oktatókórház Szombathely.
Radiológiai Osztály, Markusovszky Egyetemi Oktatókórház Szombathely.
Orv Hetil. 2016 Apr 10;157(15):569-74. doi: 10.1556/650.2016.30403.
Rapid differential diagnosis of circulatory failure (shock) with unknown etiology is a daily challenge in the field of emergency medicine. The Rapid Ultrasound in Shock (RUSH) protocol is well known since 2010. With the use of targeted steps, the 4 forms of shock (cardiogen, distributive, obstructive, hypovolemic) can be separated in a few minutes.
The aim of the authors was to evaluate the usefulness of the Rapid Ultrasound in Shock protocol for the diagnosis of different forms of shock.
The retrospective study included 123 critically ill patients admitted to the Emergency Department of Markusovszky Hospital, Szombathely, Hungary. Detailed records were obtained from all patients.
From the 123 crirically ill patients, 64 patients suffered from circulatory failure, while the remaining patients had acute severe chest or abdominal pain, or respiratory failure.
Based on the results of the first evaluation of the Rapid Ultrasound in Shock protocol in Hungarian patients, the authors conclude that, the bedside ultrasonography has a great value in emergency medicine, and this the protocol is suitable for its integration into patient care and education of emergency medicine.
对病因不明的循环衰竭（休克）进行快速鉴别诊断是急诊医学领域的日常挑战。自2010年以来，休克快速超声（RUSH）方案已广为人知。通过有针对性的步骤，可在几分钟内区分4种休克类型（心源性、分布性、梗阻性、低血容量性）。
作者的目的是评估休克快速超声方案对不同类型休克诊断的有用性。
这项回顾性研究纳入了匈牙利松博特海伊马尔库绍夫斯基医院急诊科收治的123例危重症患者。收集了所有患者的详细记录。
在这123例危重症患者中，64例患有循环衰竭，其余患者患有急性严重胸痛或腹痛或呼吸衰竭。
基于对匈牙利患者休克快速超声方案的首次评估结果，作者得出结论，床旁超声检查在急诊医学中具有重要价值，该方案适合纳入患者护理和急诊医学教育。
