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床边诊断肺栓塞使用电阻抗断层成像:病例报告。

Bedside Diagnosis of Pulmonary Embolism Using Electrical Impedance Tomography: A Case Report.

机构信息

From the Departments of Emergency Medicine.

Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.

出版信息

A A Pract. 2022 Jul 20;16(7):e01606. doi: 10.1213/XAA.0000000000001606. eCollection 2022 Jul 1.

DOI:10.1213/XAA.0000000000001606
PMID:35861569
Abstract

Electrical impedance tomography (EIT) is an emerging imaging modality that can be used to diagnose ventilatory and intrathoracic perfusion mismatches in unstable patients at the bedside. We present a case of a postoperative hypoxic patient in the intensive care unit (ICU) who was too unstable for transport for computed tomography (CT) imaging but was diagnosed and treated for a pulmonary embolism using EIT at the bedside. After the patient clinically improved, CT imaging confirmed the pulmonary embolism diagnosis. EIT is a promising diagnostic tool that may have great utility in ICUs, where it can be safely applied at the bedside.

摘要

电阻抗断层成像(EIT)是一种新兴的成像方式,可用于在床边诊断不稳定患者的通气和胸腔内灌注不匹配。我们报告了一例术后低氧血症患者在重症监护病房(ICU)的病例,该患者因不稳定而无法进行计算机断层扫描(CT)成像,但使用 EIT 在床边诊断和治疗了肺栓塞。患者临床症状改善后,CT 成像证实了肺栓塞的诊断。EIT 是一种很有前途的诊断工具,在 ICU 中可能有很大的应用价值,因为它可以安全地在床边应用。

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