Wang Xinchen, Zhao Hua, Cui Na
Department of Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China.
Front Med (Lausanne). 2021 Nov 19;8:773471. doi: 10.3389/fmed.2021.773471. eCollection 2021.
Electrical impedance tomography (EIT) is a non-invasive, radiation-free and bedside imaging tool that is widely used for real-time monitoring of lung ventilation. Recently, it has been proposed for use in quantitative assessment of regional lung perfusion with hypertonic saline bolus injection and consequently for pulmonary embolism (PE) detection. Here, we present a case of high-risk PE in a postoperative patient, in which EIT monitoring provided us with useful information for diagnosis and decision-making, especially with the challenge of anticoagulation and risk of bleeding.
电阻抗断层成像(EIT)是一种无创、无辐射且可在床边使用的成像工具,广泛用于实时监测肺通气。最近,有人提出将其用于通过注射高渗盐水团注对局部肺灌注进行定量评估,进而用于检测肺栓塞(PE)。在此,我们报告一例术后高危PE患者,其中EIT监测为我们的诊断和决策提供了有用信息,尤其是在抗凝挑战和出血风险方面。