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院前超声引导紧急心包穿刺术:病例报告。

Prehospital Ultrasound Use to Guide Emergent Pericardiocentesis: A Case Report.

机构信息

BerbeeWalsh Department of Emergency Medicine, University of Wisconsin-Madison, Madison, WI.

BerbeeWalsh Department of Emergency Medicine, University of Wisconsin-Madison, Madison, WI; Med Flight, University of Wisconsin-Madison Hospitals and Clinics, Madison, WI.

出版信息

Air Med J. 2024 Jul-Aug;43(4):360-362. doi: 10.1016/j.amj.2024.03.015. Epub 2024 Apr 29.

Abstract

Point-of-care ultrasound (POCUS) has been shown to be a valuable tool in the management of acutely ill patients in the prehospital setting. POCUS not only has utility from a diagnostic perspective but also has been shown to reduce the rate of complications from otherwise traditionally "blind" procedures, such as pericardiocentesis. This case report highlights the utility of POCUS in the prehospital setting to guide emergent pericardiocentesis to treat cardiac tamponade. The applicability of various approaches to ultrasound-guided pericardiocentesis is also discussed.

摘要

床边超声(POCUS)已被证明是在院前环境中管理急症患者的有价值的工具。POCUS 不仅具有诊断价值,而且还被证明可以降低传统上“盲目”操作(如心包穿刺术)的并发症发生率。本病例报告强调了 POCUS 在院前环境中用于指导紧急心包穿刺术以治疗心脏压塞的效用。还讨论了各种超声引导下心包穿刺术方法的适用性。

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