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床旁超声在急诊科的作用：A型主动脉夹层导致升主动脉局限性破裂并引起亚急性心脏压塞的病例

The Role of Point-of-Care Ultrasound in the Emergency Department: The Case of a Contained Rupture of the Ascending Aorta Due to Type A Dissection Causing Subacute Cardiac Tamponade.

作者信息

Saeid Hafsah, Esfeh Nazanin Kazemi, Srivastava Vivek, Kardos Attila

机构信息

Department of Cardiology and Translational Cardiovascular Research Group, Milton Keynes University Hospital, Milton Keynes, Eaglestone, United Kingdom.

Department of Cardiothoracic Surgery, Oxford Heart Centre, Oxford University Hospital, Oxford, United Kingdom.

出版信息

CASE (Phila). 2022 Aug 15;6(6):275-280. doi: 10.1016/j.case.2022.05.005. eCollection 2022 Aug.

DOI:10.1016/j.case.2022.05.005
PMID:36036050
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9399628/
Abstract

• POCUS diagnosed AAS complicated by cardiac tamponade. • POCUS facilitated lifesaving emergency ascending aorta and hemiarch replacement. • The diagnostic accuracy of POCUS in AAS remains highly operator dependent. • Integrating POCUS into training curricula for emergency physicians can be beneficial.

摘要

• 床旁超声诊断出急性主动脉综合征并发心脏压塞。

• 床旁超声助力了挽救生命的急诊升主动脉及半弓置换术。

• 床旁超声对急性主动脉综合征的诊断准确性仍高度依赖操作者。

• 将床旁超声纳入急诊医生培训课程可能有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e36/9399628/c70095df304b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e36/9399628/47fbb3bf2549/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e36/9399628/af845f2568a3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e36/9399628/6943de470456/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e36/9399628/74cbe21e569c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e36/9399628/07c62d72a150/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e36/9399628/9e2c551b0688/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e36/9399628/c70095df304b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e36/9399628/47fbb3bf2549/fx1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e36/9399628/af845f2568a3/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e36/9399628/6943de470456/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e36/9399628/74cbe21e569c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e36/9399628/07c62d72a150/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e36/9399628/9e2c551b0688/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e36/9399628/c70095df304b/gr6.jpg

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Effects of Point-of-care Ultrasonography on the Diagnostic Process of Patients Admitted to the Emergency Department with Chest Pain: A Randomised Controlled Trial.以即时超声检查用于胸痛为主诉而入住急诊之病患诊断流程的影响: 一随机对照试验。
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2014 ESC Guidelines on the diagnosis and treatment of aortic diseases: Document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. The Task Force for the Diagnosis and Treatment of Aortic Diseases of the European Society of Cardiology (ESC).2014年欧洲心脏病学会（ESC）主动脉疾病诊断和治疗指南：涵盖成人胸主动脉和腹主动脉急慢性疾病的文件。欧洲心脏病学会（ESC）主动脉疾病诊断和治疗特别工作组。
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