Kebort Breanna M, Hong Aleta J, Bontempo Laura J, Dezman Zachary D W
University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, Maryland.
University of Massachusetts Medical School, Department of Emergency Medicine, Worcester, Maryland.
Clin Pract Cases Emerg Med. 2021 Feb;5(1):1-5. doi: 10.5811/cpcem.2020.10.49781.
A 40-year-old female presented to the emergency department (ED) after the acute onset of dyspnea. The patient was tachypneic with accessory muscle usage and diffuse wheezing on initial examination. Despite aggressive treatment, the patient deteriorated and was intubated. This case takes the reader through the differential diagnosis and systematic workup of a patient presenting to the ED with dyspnea and arrives at the unexpected cause for this patient's presentation.
一名40岁女性在急性呼吸困难发作后被送往急诊科。患者呼吸急促,使用辅助呼吸肌,初次检查时有弥漫性哮鸣音。尽管进行了积极治疗,患者病情仍恶化并接受了插管。本病例引导读者对一名因呼吸困难前往急诊科就诊的患者进行鉴别诊断和系统检查,并找出该患者临床表现的意外病因。