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急诊科床旁超声对气腹的及时诊断:病例系列

Timely Diagnosis of Pneumoperitoneum by Point-of-care Ultrasound in the Emergency Department: A Case Series.

作者信息

Yum Jung, Hoffman Taryn, Naraghi Leily

机构信息

Maimonides Medical Center, Department of Emergency Medicine, Brooklyn, New York.

出版信息

Clin Pract Cases Emerg Med. 2021 Nov;5(4):377-380. doi: 10.5811/cpcem.2021.4.52139.

Abstract

INTRODUCTION

Pneumoperitoneum is a life-threatening diagnosis that requires timely diagnosis and action. We present a case series of patients with perforated hollow viscus who were accurately diagnosed by emergency physicians using point-of-care ultrasound (POCUS) while in the emergency department (ED).

CASE SERIES

Three elderly patients presented to the ED with the complaints of syncope, abdominal pain with constipation, and unresponsiveness. The emergency physicians used POCUS to diagnose and then expedite the necessary treatment.

CONCLUSION

Point-of-care ultrasound can be used by emergency physicians to diagnose pneumoperitoneum in the ED.

摘要

引言

气腹是一种危及生命的诊断,需要及时诊断并采取行动。我们报告一组病例,这些患有中空脏器穿孔的患者在急诊科时被急诊医生使用床旁超声(POCUS)准确诊断。

病例系列

三名老年患者因晕厥、腹痛伴便秘及无反应前来急诊科就诊。急诊医生使用床旁超声进行诊断,然后加快进行必要的治疗。

结论

急诊医生可在急诊科使用床旁超声诊断气腹。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dc4/8610489/49723e7db090/cpcem-5-377-g001.jpg

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