Doniger Stephanie J, Ng Nicholas
Department of Pediatric Emergency Medicine, CHOC Children's Hospital of Orange County, Orange, CA, USA.
Department of Pediatric Critical Care, Morgan Stanley Children's Hospital of New York-Presbyterian, New York, NY, USA.
Ultrasound J. 2020 Feb 4;12(1):4. doi: 10.1186/s13089-020-0154-3.
The diagnosis of pericardial effusion with cardiac tamponade can at times be elusive in pediatric patients since it is relatively uncommon. Point-of-care ultrasound (POCUS) can readily be performed at the bedside to assess for the presence of a pericardial effusion, tamponade, and can occasionally yield unexpected results.
Two cases where POCUS unexpectedly identified pericardial effusions, with one patient who also had an anterior mediastinal mass.
Though underutilized, cardiac POCUS in children can be immediately life-saving and drastically change the clinical management at the patient's bedside.
心包积液伴心脏压塞的诊断在儿科患者中有时难以捉摸，因为这种情况相对不常见。床旁即时超声（POCUS）可以很容易地在床边进行，以评估心包积液、心脏压塞的存在，并且偶尔会产生意想不到的结果。
两例POCUS意外发现心包积液的病例，其中一例患者还伴有前纵隔肿块。
虽然未得到充分利用，但儿童心脏POCUS可以立即挽救生命，并极大地改变患者床边的临床管理。
