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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.

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/2b64/7012567/893ca9021e2c/cpcem-04-79-g001.jpg

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