Weberding Nathaniel T, Marin Jennifer R
From the Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA.
Pediatr Emerg Care. 2019 Aug;35(8):575-578. doi: 10.1097/PEC.0000000000001891.
The differential diagnosis for patients presenting in shock can be broad, making rapid diagnosis and management challenging. We present a case of a medically complex patient with presumed septic shock, diagnosed with a large pericardial effusion with evidence of tamponade using the rapid ultrasound in shock and hypotension protocol. The point-of-care ultrasound examination allowed for more timely and definitive management.
休克患者的鉴别诊断范围可能很广,这使得快速诊断和治疗具有挑战性。我们报告一例患有多种复杂病症的患者,疑似感染性休克,通过休克和低血压时的快速超声检查方案诊断为大量心包积液并有心包填塞的证据。床旁超声检查有助于更及时、明确地进行治疗。