Clark Allison, Lampley Peyton, Tran Vu Huy
Aventura Hospital and Medical Center, Emergency Medicine Residency Program, Aventura, Florida.
Clin Pract Cases Emerg Med. 2023 Aug;7(3):127-131. doi: 10.5811/cpcem.1584.
Tension hydrothorax is an uncommon emergent condition in which hemodynamic instability and respiratory compromise may occur. Emergency physicians may diagnose tension hydrothorax by point-of-care ultrasound.
We discuss the key sonographic features assisting in identification. Four patients with history of malignancy who were found to have tension hydrothorax exhibited the following common ultrasound findings: massive, left-sided pleural effusion; complete, compressive atelectasis; and shift of cardiac structures into the right hemithorax, resulting in right-sided probe placement to obtain cardiac views.
This is the first instance to our knowledge of point-of-care ultrasound findings in tension hydrothorax to be described in the literature.
张力性胸腔积液是一种罕见的紧急情况，可能会出现血流动力学不稳定和呼吸功能受损。急诊医生可通过床旁超声诊断张力性胸腔积液。
我们讨论有助于识别的关键超声特征。4例有恶性肿瘤病史且被发现患有张力性胸腔积液的患者表现出以下常见超声表现：大量左侧胸腔积液；完全性压迫性肺不张；心脏结构向右半胸移位，导致需将探头置于右侧才能获得心脏图像。
据我们所知，这是文献中首次描述张力性胸腔积液的床旁超声表现。
