创伤超声重点评估（FAST）可识别心肺复苏后的肝损伤。
Focused assessment with sonography for trauma (FAST) identifies liver injury following cardiopulmonary resuscitation.
作者信息
Nashiki Hiroshi, Miyate Yoshiharu, Terui Yousuke, Otani Masayuki
机构信息
Department of Critical Care Medicine, Iwate Prefectural Central Hospital, Morioka, Japan.
Department of Cardiology, Iwate Prefectural Central Hospital, Morioka, Japan.
出版信息
BMJ Case Rep. 2017 Jul 19;2017:bcr-2017-221421. doi: 10.1136/bcr-2017-221421.
Liver trauma is a recognised rare complication of cardiopulmonary resuscitation (CPR) and may be difficult to detect. We report a case of intraperitoneal haemorrhage due to liver injury following CPR in a 50-year-old man admitted to the intensive care unit. The haemorrhage was diagnosed with focused assessment with sonography for trauma (FAST). FAST can rapidly and easily diagnose liver injury. FAST is recommended for excluding haemoperitoneum in patients who are haemodynamically unstable after resuscitation.
肝外伤是心肺复苏（CPR）一种公认的罕见并发症，可能难以检测。我们报告一例因CPR后肝损伤导致腹腔内出血的病例，患者为一名50岁男性，入住重症监护病房。通过创伤重点超声评估（FAST）诊断出出血情况。FAST能够快速且轻松地诊断肝损伤。对于复苏后血流动力学不稳定的患者，推荐使用FAST来排除腹腔积血。
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