Bunce Chelsea, Bryczkowski Christopher, Rometti Mary
Rutgers Robert Wood Johnson Medical School, Department of Emergency Medicine, New Brunswick, NJ.
J Educ Teach Emerg Med. 2023 Jan 31;8(1):V5-V10. doi: 10.21980/J8964Z. eCollection 2023 Jan.
Although uncommon, acute aortic dissections are a life-threatening, cannot miss diagnosis for the emergency medicine clinician. Point of care ultrasound can play an integral role in the initial work up of the undifferentiated patient. While not initially utilized to make the diagnosis of aortic dissection, the ultrasound images obtained in this case describe key findings on ultrasound vital for an emergency clinician to recognize. It is essential for emergency medicine clinicians to differentiate an aortic dissection from other causes of chest pain and abdominal pain because the quick mobilization of resources plays a key role in the management and outcome of such patients.
Aortic dissection, vascular, dissection flap, back pain, point of care ultrasound, POCUS.
虽然急性主动脉夹层并不常见,但对急诊医学临床医生来说,它是一种危及生命、不容错过的诊断。即时超声检查在未分化患者的初始检查中可发挥重要作用。虽然最初并非用于诊断主动脉夹层,但该病例中获得的超声图像描述了对急诊临床医生识别至关重要的超声关键发现。急诊医学临床医生必须将主动脉夹层与其他胸痛和腹痛原因区分开来,因为快速调动资源在这类患者的管理和预后中起着关键作用。
主动脉夹层、血管、夹层瓣、背痛、即时超声检查、床旁超声检查