Bitar Zouheir Ibrahim, Zaalouk Tamer Mohamed, Maadarani Ossama Sajeh, Elshabasy Ragab Desouky
Critical Care Unit, Ahmadi Hospital, Kuwait Oil Company, P.O. Box 46468, 64015 Fahaheel, Kuwait.
Case Rep Crit Care. 2020 Apr 4;2020:9431496. doi: 10.1155/2020/9431496. eCollection 2020.
A 56-year-old male was admitted to the emergency department for acute pulmonary edema and septic shock, yet no clear source of infection was noted upon physical examination. Due to his unstable condition, bedside ultrasound was performed. A heterogeneous mass in the liver was noted; hence, a tentative diagnosis of liver abscess was made. The abscess was confirmed by abdominal magnetic resonance imaging. Drainage of the abscess was attempted and guided by early ultrasound. This case highlights that point-of-care ultrasound, when performed by an ultrasound-capable critical care physician, can significantly decrease the time to diagnosis for septic patients.
一名56岁男性因急性肺水肿和感染性休克入住急诊科，但体格检查未发现明确的感染源。由于其病情不稳定，遂进行了床旁超声检查。结果发现肝脏有一个不均匀的肿块；因此，初步诊断为肝脓肿。腹部磁共振成像证实了脓肿的存在。在早期超声引导下尝试对脓肿进行引流。该病例突出表明，由具备超声技能的重症监护医师进行床旁超声检查，可显著缩短感染性疾病患者的诊断时间。
