晕厥与不明原因休克。
Syncope and undifferentiated shock.
作者信息
Trotzky Daniel, Amer Ali, Fraij Salha, Fordham Daniel E, Granovsky Gregory, Aizik Uri, Carady Natali, Cohen Aya, Fuchs Shmuel, Mengesha Bethlehem, Burgsdorf Oleg, Yofik Inna, Naimark Ari, Baruch Inbal, Barac Yaron D, Pachys Gal
机构信息
The Emergency Department Shamir Medical Center (Assaf Harofeh Medical Center) Zerifin Israel.
The Cardiac Unit Shamir Medical Center Assaf Harofeh Medical Center) Zerifin Israel.
出版信息
Australas J Ultrasound Med. 2021 Mar 10;24(2):99-101. doi: 10.1002/ajum.12241. eCollection 2021 May.
Ventricular free wall rupture is a rare post myocardial complication with a high associated mortality. In this article we discuss the case of an elderly patient who presented to our emergency department in shock after an episode of syncope. Using Point Of Care Ultrasound (POCUS), identification of cardiac tamponade and pericardial thrombus was possible, signs indicating a diagnosis of free wall rupture. Early initiation of transfer proceedings to a tertiary cardio-thoracic unit was therefore possible, resulting in a positive patient outcome.
心室游离壁破裂是一种罕见的心肌梗死后并发症，死亡率很高。在本文中，我们讨论了一例老年患者的病例，该患者在一次晕厥发作后因休克被送至我院急诊科。通过床旁超声检查（POCUS），能够识别心脏压塞和心包血栓，这些迹象提示游离壁破裂的诊断。因此，得以尽早启动将患者转至三级心胸外科单位的程序，从而使患者获得了良好的治疗结果。
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