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肾科医生床旁超声检查在低钠血症评估中的应用

Utility of Nephrologist-Performed Point of Care Ultrasonography in the Evaluation of Hyponatremia.

作者信息

Saqib Mahmud, Capelli Gregory, Koratala Abhilash

机构信息

Division of Nephrology, Medical College of Wisconsin Milwaukee, Wisconsin USA.

Department of Medicine, Medical College of Wisconsin Milwaukee, Wisconsin USA.

出版信息

POCUS J. 2022 Feb 1;7(Kidney):11-13. doi: 10.24908/pocus.v7iKidney.15339. eCollection 2022.

Abstract

Point of care ultrasonography can be a valuable adjunct to conventional physical examination in patients with hyponatremia that aids in clinical decision making. It can address the shortcomings of traditional volume status assessment such as the inherent low sensitivity of 'classic' signs such as lower extremity edema. Herein, we present a case of a 35-year-old woman where discrepant clinical findings led to confusion in the accurate assessment of volume status but addition of point of care ultrasonography helped to guide the therapy.

摘要

对于低钠血症患者,床旁超声检查可作为传统体格检查的重要辅助手段,有助于临床决策。它可以弥补传统容量状态评估的不足,比如像下肢水肿这类“典型”体征固有的低敏感性。在此,我们报告一例35岁女性病例,其临床检查结果存在差异,导致在准确评估容量状态时出现困惑,但床旁超声检查的加入有助于指导治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f72/9994294/c0f14447a314/pocusj-07-15339-g001.jpg

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