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通过肱骨骨髓腔内通路对急诊患者进行胸部和腹部CT血管造影。

CT angiography of the chest and abdomen in an emergency patient via humeral intraosseous access.

作者信息

Budach Nils Markus, Niehues Stefan Markus

机构信息

Department of Radiology, Charité-University Medicine Berlin, Berlin, Germany.

Campus Benjamin Franklin, Klinik und Hochschulambulanz für Radiologie, Charité-Universitätsmedizin Berlin, Hindenburgdamm 30, 12203, Berlin, Germany.

出版信息

Emerg Radiol. 2017 Feb;24(1):105-108. doi: 10.1007/s10140-016-1438-6. Epub 2016 Aug 29.

Abstract

A 69-year-old woman was taken to our emergency department after having been found unconscious. An intraosseous catheter was placed in the head of the right humerus due to inaccessible peripheral veins. With the suspected diagnosis of shock, pulmonary embolism, and mesenteric ischemia, a CT scan of the chest and abdomen was initiated. Pulmonary embolism and mesenteric arterial embolism could be ruled out at excellent image quality.

摘要

一名69岁女性在被发现昏迷后被送往我院急诊科。由于外周静脉难以穿刺,在右肱骨头置入了一根骨内导管。怀疑诊断为休克、肺栓塞和肠系膜缺血,遂进行胸部和腹部CT扫描。在图像质量极佳的情况下排除了肺栓塞和肠系膜动脉栓塞。

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