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心脏压塞：床旁超声检查的一个病例

Cardiac Tamponade: A Case for Point-of-Care Ultrasound.

作者信息

Wharton Ronald H, Greenstein Steven A

机构信息

Department of Cardiology, North Shore University Hospital, Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York.

出版信息

CASE (Phila). 2022 Aug 15;6(6):263-265. doi: 10.1016/j.case.2022.05.003. eCollection 2022 Aug.

DOI:10.1016/j.case.2022.05.003
PMID:36036048
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9399561/
Abstract

• POCUS is increasingly being used in the evaluation of critically ill patients. • POCUS can shorten pulse check duration and prognosticate outcomes in cardiac arrest. • POCUS can identify the etiology of cardiac arrest after the first image. • POCUS can be used without delay or interrupting treatment.

摘要

• 床旁超声检查（POCUS）在危重症患者评估中的应用越来越广泛。

• 床旁超声检查可缩短心脏骤停时的脉搏检查时间并预测预后。

• 床旁超声检查可在获取首张图像后确定心脏骤停的病因。

• 床旁超声检查可立即使用，无需延误或中断治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d686/9399561/fb0ba9c30b38/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d686/9399561/5fb96daff3d8/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d686/9399561/a27debd0c64f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d686/9399561/e501e33f342b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d686/9399561/fb0ba9c30b38/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d686/9399561/5fb96daff3d8/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d686/9399561/a27debd0c64f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d686/9399561/e501e33f342b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d686/9399561/fb0ba9c30b38/gr3.jpg

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本文引用的文献

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The role of point-of-care ultrasound in the diagnosis of pericardial effusion: a single academic center retrospective study.床旁超声心动图在诊断心包积液中的作用：一项单学术中心回顾性研究。
Ultrasound J. 2021 Feb 4;13(1):2. doi: 10.1186/s13089-021-00205-x.
2
Bedside ultrasound in cardiac standstill: a clinical review.心脏停搏时的床旁超声：临床综述
Ultrasound J. 2019 Dec 30;11(1):35. doi: 10.1186/s13089-019-0150-7.
3
Pseudo-pulseless electrical activity in the emergency department, an evidence based approach.急诊科的假性无脉电活动：一种基于证据的方法。
急诊医师关于心脏压塞即时超声心动图解读的共识
Cureus. 2023 Jul 15;15(7):e41913. doi: 10.7759/cureus.41913. eCollection 2023 Jul.
Am J Emerg Med. 2020 Feb;38(2):371-375. doi: 10.1016/j.ajem.2019.158503. Epub 2019 Oct 14.
4
Implementation of the Cardiac Arrest Sonographic Assessment (CASA) protocol for patients with cardiac arrest is associated with shorter CPR pulse checks.实施心脏骤停超声评估（CASA）方案与心脏骤停患者的 CPR 脉搏检查时间更短有关。
Resuscitation. 2018 Oct;131:69-73. doi: 10.1016/j.resuscitation.2018.07.030. Epub 2018 Jul 30.
5
"Blind" pericardiocentesis: A comparison of different puncture directions.盲目性心包穿刺术：不同穿刺方向的比较。
Catheter Cardiovasc Interv. 2018 Nov 1;92(5):E327-E332. doi: 10.1002/ccd.27601. Epub 2018 May 8.
6
Emergency department point-of-care ultrasonography improves time to pericardiocentesis for clinically significant effusions.急诊科即时超声检查可缩短对具有临床意义的心包积液进行心包穿刺术的时间。
Clin Exp Emerg Med. 2017 Sep 30;4(3):128-132. doi: 10.15441/ceem.16.169. eCollection 2017 Sep.
7
A retrospective study of pulseless electrical activity, bedside ultrasound identifies interventions during resuscitation associated with improved survival to hospital admission. A REASON Study.一项关于无脉电活动的回顾性研究表明，床边超声可以识别复苏过程中的干预措施，这些措施与提高存活率至入院相关。一项 REASON 研究。
Resuscitation. 2017 Nov;120:103-107. doi: 10.1016/j.resuscitation.2017.09.008. Epub 2017 Sep 13.
8
The Cardiac Arrest Sonographic Assessment (CASA) exam - A standardized approach to the use of ultrasound in PEA.心脏骤停超声评估（CASA）检查——一种在心脏停搏时使用超声的标准化方法。
Am J Emerg Med. 2018 Apr;36(4):729-731. doi: 10.1016/j.ajem.2017.08.052. Epub 2017 Aug 26.
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Impact of Point-of-Care Ultrasound Examination on Triage of Patients With Suspected Cardiac Disease.床旁超声检查对疑似心脏病患者分诊的影响。
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Safety, Efficacy, and Complications of Pericardiocentesis by Real-Time Echo-Monitored Procedure.实时超声监测心包穿刺术的安全性、有效性及并发症
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