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急性缺血性卒中机械取栓术后的休克：床旁超声诊断

Shock after Mechanical Thrombectomy for Acute Ischemic Stroke: A Point-of-Care Ultrasound Diagnosis.

作者信息

Pandompatam Govind, Bly Stanley

机构信息

Department of Critical Care, HSHS St. John's Hospital, Springfield, Illinois.

Department of Echocardiography, Prairie Cardiology, Springfield, Illinois.

出版信息

CASE (Phila). 2022 Aug 15;6(6):254-258. doi: 10.1016/j.case.2022.04.014. eCollection 2022 Aug.

DOI:10.1016/j.case.2022.04.014
PMID:36036043
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9399535/
Abstract

• POCUS can help identify etiology of acute ischemic stroke and expedite management. • POCUS is a useful initial screening modality for type A aortic dissection. • Type A aortic dissection extending to the carotids is an important cause of stroke. • POCUS is valuable to diagnose the etiology of shock in critically ill patients.

摘要

• 床旁超声可有助于识别急性缺血性卒中的病因并加快治疗。

• 床旁超声是A型主动脉夹层有用的初始筛查方式。

• 累及颈动脉的A型主动脉夹层是卒中的重要病因。

• 床旁超声对于诊断危重症患者休克的病因很有价值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb40/9399535/1ca959909311/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb40/9399535/f1999dbbee68/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb40/9399535/2e79d68f496b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb40/9399535/1f14d7469e37/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb40/9399535/f72a77f1ab86/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb40/9399535/57cb49351db0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb40/9399535/f9138cd7ee34/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb40/9399535/1ca959909311/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb40/9399535/f1999dbbee68/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb40/9399535/2e79d68f496b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb40/9399535/1f14d7469e37/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb40/9399535/f72a77f1ab86/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb40/9399535/57cb49351db0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb40/9399535/f9138cd7ee34/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb40/9399535/1ca959909311/gr6.jpg

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本文引用的文献

1
Screening of Embolic Sources by Point-of-Care Ultrasound in the Acute Phase of Ischemic Stroke.在缺血性脑卒中急性期应用床旁超声筛查栓子来源。
Ultrasound Med Biol. 2020 Sep;46(9):2173-2180. doi: 10.1016/j.ultrasmedbio.2020.05.009. Epub 2020 Jun 10.
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Prediction of aortic dissection.主动脉夹层的预测
Heart. 2020 Jun;106(12):870-871. doi: 10.1136/heartjnl-2020-316617. Epub 2020 Mar 31.
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Management and outcomes of carotid artery extension of aortic dissections.主动脉夹层颈动脉延伸的管理与结局
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Emergency physician focused cardiac ultrasound improves diagnosis of ascending aortic dissection.急诊医生聚焦心脏超声检查可改善升主动脉夹层的诊断。
Am J Emerg Med. 2016 Mar;34(3):486-92. doi: 10.1016/j.ajem.2015.12.005. Epub 2015 Dec 12.
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Scientific Rationale for the Inclusion and Exclusion Criteria for Intravenous Alteplase in Acute Ischemic Stroke: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association.静脉注射阿替普酶用于急性缺血性脑卒中的纳入和排除标准的科学依据：美国心脏协会/美国卒中协会医疗保健专业人员的声明。
Stroke. 2016 Feb;47(2):581-641. doi: 10.1161/STR.0000000000000086. Epub 2015 Dec 22.
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Accuracy of Rapid Ultrasound in Shock (RUSH) Exam for Diagnosis of Shock in Critically Ill Patients.急重症患者休克诊断中快速超声休克（RUSH）检查的准确性
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Multimodality imaging of diseases of the thoracic aorta in adults: from the American Society of Echocardiography and the European Association of Cardiovascular Imaging: endorsed by the Society of Cardiovascular Computed Tomography and Society for Cardiovascular Magnetic Resonance.成人胸主动脉疾病的多模态成像：来自美国超声心动图学会和欧洲心血管影像学会：得到心血管计算机断层扫描学会和心血管磁共振学会认可。
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Diagnostic performance of emergency transthoracic focus cardiac ultrasound in suspected acute type A aortic dissection.急诊经胸心脏聚焦超声对疑似急性A型主动脉夹层的诊断效能
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