Rizvi Ozair, Sodhi Sarab, Rempell Joshua S
Department of Emergency Medicine Cooper University Hospital Camden New Jersey USA.
J Am Coll Emerg Physicians Open. 2020 Jul 2;1(5):1114-1116. doi: 10.1002/emp2.12171. eCollection 2020 Oct.
A 45-year-old man presented to the emergency department (ED) with progressive chest pain and dyspnea 3 months after aortic valve replacement. He had been evaluated by his primary care physician and cardiologist and no diagnosis had been made. On arrival, the emergency physicians performed point-of-care ultrasonography, which showed a large hypoechoic collection compressing the right ventricle. This prompted further workup, including a computed tomography of the chest, which revealed a large fluid collection in the anterior mediastinum. Subsequently, cardiothoracic surgery was consulted and the patient was taken to the operating room for a sternal washout with evacuation of the collection.
一名45岁男性在主动脉瓣置换术后3个月因进行性胸痛和呼吸困难就诊于急诊科。他此前已由初级保健医生和心脏病专家进行评估，但未明确诊断。到达急诊科后，急诊医生进行了床旁超声检查，结果显示有一个巨大的低回声液性暗区压迫右心室。这促使进行进一步检查，包括胸部计算机断层扫描，结果显示前纵隔有大量积液。随后，咨询了心胸外科，该患者被送往手术室进行胸骨冲洗并清除积液。
