Sforza Alfonso, Carlino Maria Viviana, Guarino Mario, Russo Salvatore, Albano Giovanni, Paladino Fiorella, Mancusi Costantino
CTO Hospital, Emergency Department.
Monaldi Arch Chest Dis. 2018 Oct 1;88(3):982. doi: 10.4081/monaldi.2018.982.
Cardiogenic pulmonary edema is a common presentation of acute heart failure normally treated with continuous positive airway pressure (CPAP), diuretics and nitrates. This therapy is contraindicated in case of cardiac tamponade. We describe a case of pulmonary edema due to cardiac tamponade in which integrated lung-heart ultrasound examination allowed prompt diagnosis and pericardiocentesis before administration of CPAP thus avoiding circulatory collapse.
心源性肺水肿是急性心力衰竭的常见表现，通常采用持续气道正压通气（CPAP）、利尿剂和硝酸盐进行治疗。在心脏压塞的情况下，这种治疗是禁忌的。我们描述了一例因心脏压塞导致肺水肿的病例，其中综合心肺超声检查能够及时诊断，并在给予CPAP之前进行心包穿刺，从而避免了循环衰竭。
