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床旁重症超声诊断福尼尔坏疽:一例报告

Critical Point-of-care Ultrasound Diagnosis of Fournier's Gangrene: A Case Report.

作者信息

Ramm Lauren, Guidry Kayla, Cirilli Angela, Kurkowski Ellen, Yu Connie

机构信息

St. John's Riverside Hospital, Department of Emergency Medicine, Yonkers, New York.

出版信息

Clin Pract Cases Emerg Med. 2022 Feb;6(1):57-60. doi: 10.5811/cpcem.2021.11.54849.

Abstract

INTRODUCTION

Fournier's gangrene is a severe, necrotizing, and potentially fatal, soft tissue infection of the perineum that can be difficult to diagnose clinically. Point-of-care ultrasound (POCUS) has established a critical role in emergency medicine as a quick diagnostic tool due to its safety, accuracy, and cost effectiveness.

CASE REPORT

We present a case in which POCUS was used to rapidly confirm diagnosis in an unstable, severely septic patient presenting to the emergency department with Fournier's gangrene.

CONCLUSION

Point-of-care ultrasound can be used to make the diagnosis of Fournier's gangrene in critical patients when other diagnostic modalities are not feasible due to a patient's clinical state.

摘要

引言

福尼尔坏疽是一种严重的、坏死性的、可能致命的会阴部软组织感染,临床诊断可能较为困难。床旁超声(POCUS)因其安全性、准确性和成本效益,作为一种快速诊断工具在急诊医学中发挥着关键作用。

病例报告

我们报告一例病例,一名因福尼尔坏疽就诊于急诊科的不稳定、严重脓毒症患者,通过床旁超声快速确诊。

结论

当由于患者临床状态其他诊断方式不可行时,床旁超声可用于对危重症患者进行福尼尔坏疽的诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69ea/8885234/8110d6f2a62d/CPCEM-6-57-g001.jpg

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