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床旁超声诊断急性腹主动脉闭塞

Point-of-care Ultrasound Diagnosis of Acute Abdominal Aortic Occlusion.

作者信息

Bloom Benjamin, Gibbons Ryan, Brandis Dov, Costantino Thomas G

机构信息

Temple University Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania.

Lewis Katz School of Medicine at Temple University, Department of Emergency Medicine, Philadelphia, Pennsylvania.

出版信息

Clin Pract Cases Emerg Med. 2020 Jan 23;4(1):79-82. doi: 10.5811/cpcem.2019.11.44311. eCollection 2020 Feb.

DOI:10.5811/cpcem.2019.11.44311
PMID:32064433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7012567/
Abstract

Acute aortic occlusion is an emergent vascular condition not encountered routinely. Given its varied presentations, including neurovascular deficits and mimicking an acute abdomen, the diagnosis is often delayed causing increased morbidity and mortality. We present a case of acute abdominal aortic occlusion masquerading as sudden onset lower extremity pain and weakness in an 86-year-old female requiring emergent thrombectomy. This is only the second case report to discuss the use of point-of-care ultrasound to expedite diagnosis and management.1.

摘要

急性主动脉闭塞是一种不常遇到的紧急血管疾病。鉴于其表现多样，包括神经血管缺陷以及类似急腹症的症状，诊断往往会延迟，从而导致发病率和死亡率增加。我们报告一例86岁女性急性腹主动脉闭塞病例，该病例表现为突发下肢疼痛和无力，需要紧急进行血栓切除术。这是第二篇讨论使用床旁超声来加快诊断和治疗的病例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b64/7012567/cc5fc361931f/cpcem-04-79-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b64/7012567/893ca9021e2c/cpcem-04-79-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b64/7012567/cc5fc361931f/cpcem-04-79-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b64/7012567/893ca9021e2c/cpcem-04-79-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b64/7012567/cc5fc361931f/cpcem-04-79-g002.jpg

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A Man with Sudden Onset Leg Pain and Weakness.一名突发腿痛和腿部无力的男子。

本文引用的文献

1
Emergency physician focused cardiac ultrasound improves diagnosis of ascending aortic dissection.急诊医生聚焦心脏超声检查可改善升主动脉夹层的诊断。
Am J Emerg Med. 2016 Mar;34(3):486-92. doi: 10.1016/j.ajem.2015.12.005. Epub 2015 Dec 12.
2
Aortoiliac occlusive disease presenting as sudden onset paraplegia.以突发截瘫为表现的主髂动脉闭塞性疾病。
Ann Vasc Surg. 2014 Jul;28(5):1321.e5-7. doi: 10.1016/j.avsg.2013.12.013. Epub 2014 Feb 5.
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A modern series of acute aortic occlusion.一组现代急性主动脉闭塞病例
Clin Pract Cases Emerg Med. 2024 Nov;8(4):375-376. doi: 10.5811/cpcem.20330.
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Total suprarenal aortic occlusion with cardiac disease: a case series of three cases.合并心脏病的完全性肾上腺主动脉闭塞：三例病例系列
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Role of POCUS in Assessing an Acute Aortic Thrombus.床旁超声心动图在评估急性主动脉血栓中的作用。
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Leriche's syndrome presenting as sciatica.以坐骨神经痛为表现的勒里什综合征。
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Emergency ultrasound of the abdominal aorta by UK emergency physicians: a prospective cohort study.英国急诊医生对腹主动脉进行的急诊超声检查：一项前瞻性队列研究。
Emerg Med J. 2007 Aug;24(8):547-9. doi: 10.1136/emj.2007.048405.
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Accuracy of emergency medicine ultrasound in the evaluation of abdominal aortic aneurysm.急诊医学超声在腹主动脉瘤评估中的准确性。
J Emerg Med. 2005 Nov;29(4):455-60. doi: 10.1016/j.jemermed.2005.02.016.
8
Prospective study of accuracy and outcome of emergency ultrasound for abdominal aortic aneurysm over two years.为期两年的腹主动脉瘤急诊超声检查准确性及结果的前瞻性研究。
Acad Emerg Med. 2003 Aug;10(8):867-71. doi: 10.1111/j.1553-2712.2003.tb00630.x.
9
Prevention of spinal cord ischaemia during descending thoracic and thoracoabdominal aortic surgery.降胸段和胸腹主动脉手术中脊髓缺血的预防
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Emergency department ultrasound scanning for abdominal aortic aneurysm: accessible, accurate, and advantageous.急诊科超声扫描用于腹主动脉瘤：便捷、准确且具有优势。
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