Istrail Larry
Hospital Medicine, Inova Fairfax Hospital, Falls Church, USA.
Cureus. 2023 Sep 22;15(9):e45790. doi: 10.7759/cureus.45790. eCollection 2023 Sep.
Pulmonary embolus (PE) is a life-threatening illness that can be fatal if not treated with anticoagulation in a timely fashion. Without the use of CT angiography for direct visualization of thrombus in the pulmonary arteries or downstream vessels, the diagnosis of a PE can be challenging. Point-of-care ultrasound (POCUS) is a bedside method that is highly effective in directly evaluating deep vein thrombosis (DVT) and indirectly evaluating PE. In this case, a patient presented to the hospital with hypotension from a presumed urinary tract infection and was treated with intravenous fluids and antibiotics. POCUS examination revealed significant right heart strain and femoral DVT despite negative imaging one week prior. This highlights the importance of POCUS in evaluating patients with cardiopulmonary disease.
肺栓塞（PE）是一种危及生命的疾病，如果不及时进行抗凝治疗可能会致命。在不使用CT血管造影直接观察肺动脉或下游血管内血栓的情况下，PE的诊断可能具有挑战性。床旁即时超声（POCUS）是一种床旁检查方法，在直接评估深静脉血栓形成（DVT）和间接评估PE方面非常有效。在本病例中，一名患者因疑似尿路感染导致低血压入院，接受了静脉输液和抗生素治疗。尽管一周前影像学检查结果为阴性，但POCUS检查显示右心明显受累及股静脉DVT。这凸显了POCUS在评估心肺疾病患者中的重要性。
