Children's Emergency, KK Women's and Children's Hospital, Singapore, Singapore.
J Emerg Med. 2020 Apr;58(4):632-635. doi: 10.1016/j.jemermed.2020.01.006. Epub 2020 Mar 20.
Eye examination in distressed young children can be challenging in a busy emergency department. A full, detailed evaluation is, however, often needed in ocular emergencies.
A 2-year-old boy presented to our pediatric emergency department with refusal to open his left eye for 1 day. Eye examination was difficult and yielded limited findings, despite analgesia and parental facilitation. Under such circumstances, this might require sedation or forcibly everting the child's eyelids for the eye evaluation. A rapid ocular point-of-care ultrasound was performed, which revealed sonographic findings suggestive of a retinoblastoma in the left eye. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: The use of ocular point-of-care ultrasound facilitated the diagnosis of retinoblastoma in a child who was highly distressed and difficult to examine. Its use under such circumstances facilitated the patient's prompt evaluation and subsequent management.
在繁忙的急诊科，对有困扰的幼儿进行眼部检查具有挑战性。然而，在眼部急症中，通常需要进行全面、详细的评估。
一名 2 岁男孩因左眼持续 1 天无法睁开就诊于我院儿科急诊。尽管进行了镇痛和父母协助，眼部检查仍非常困难，只能获得有限的检查结果。在这种情况下，可能需要镇静或强行翻开患儿的眼睑进行眼部评估。我们对患儿行快速眼部床边超声检查，结果提示左眼视网膜母细胞瘤声像图表现。
为什么急诊医生应该了解这个病例？：床边眼部超声的使用有助于诊断高度困扰且难以检查的患儿的视网膜母细胞瘤。在这种情况下使用床边眼部超声有助于患儿迅速接受评估和后续管理。
