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本文引用的文献

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Bedside diagnosis of hemoperitoneum by characteristics of fluid visualized on focused assessment with sonography in trauma exam in a patient in non-traumatic shock.在一名非创伤性休克患者中，通过创伤超声重点评估（FAST）中可视化液体的特征进行床旁腹腔积血诊断。
World J Emerg Med. 2022;13(2):144-146. doi: 10.5847/wjem.j.1920-8642.2022.018.
2
Diagnostic Accuracy of Thoracic Ultrasonography to Differentiate Transudative From Exudative Pleural Effusion.胸腔超声对胸水中渗出液与漏出液的鉴别诊断准确性。
Chest. 2020 Aug;158(2):692-697. doi: 10.1016/j.chest.2020.02.051. Epub 2020 Mar 17.
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A Delayed Diagnosis of Hemorrhagic Shock in a Patient with Alcoholic Cirrhosis and Ascites on Bedside Ultrasound.一名酒精性肝硬化和腹水患者床边超声检查时出血性休克的延迟诊断
Case Rep Crit Care. 2019 Dec 10;2019:5895801. doi: 10.1155/2019/5895801. eCollection 2019.
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A Previously Healthy Man in His 30s With Worsening Shortness of Breath Over 5 Days.一名30多岁的既往健康男性，气短加重5天。
Chest. 2017 Sep;152(3):e65-e67. doi: 10.1016/j.chest.2017.03.067.
5
Sonographic appearances in transudative pleural effusions: not always an anechoic pattern.漏出性胸腔积液的超声表现：并非总是无回声模式。
Ultrasound Med Biol. 2008 Mar;34(3):362-9. doi: 10.1016/j.ultrasmedbio.2007.09.009. Epub 2007 Nov 8.
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Pleural ultrasonography.胸腔超声检查
Clin Chest Med. 2006 Jun;27(2):215-27. doi: 10.1016/j.ccm.2006.01.003.
7
Emergency diagnostic paracentesis to determine intraperitoneal fluid identity discovered on bedside ultrasound of unstable patients.对不稳定患者进行床旁超声检查发现腹腔积液后，进行急诊诊断性腹腔穿刺以确定腹腔积液的性质。
J Emerg Med. 2005 Nov;29(4):461-5. doi: 10.1016/j.jemermed.2005.02.015.

一例通过床旁超声（POCUS）诊断的罕见腹膜内出血病例。

A Rare Case of Hemoperitoneum Diagnosed with Point of Care Ultrasound (POCUS).

作者信息

Bai Jina, Cutler Todd

机构信息

Department of General Internal Medicine, Section of Hospital Medicine, Weill Cornell Medical Center NYC, NY USA.

出版信息

POCUS J. 2024 Nov 15;9(2):24-26. doi: 10.24908/pocus.v9i2.17611. eCollection 2024.

DOI:10.24908/pocus.v9i2.17611
PMID:39640082
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11619775/
Abstract

A 68-year-old man presented with one week of vague abdominal symptoms and was found to have new ascites and pulmonary embolism for which a heparin drip was initiated. We report a case diagnosing hemoperitoneum with point of care ultrasound (POCUS). Identifying hemoperitoneum can be challenging, but POCUS can be a useful tool for its diagnosis. There is limited literature on the sonographic characteristics of hemoperitoneum. Echogenicity of fluid is not a reliable distinguisher between exudative and transudative effusions. The diagnosis of hemoperitoneum in this case was suggested by the progression of POCUS findings over time rather than sonographic characteristics by themselves.

摘要

一名68岁男性因一周来腹部症状模糊而就诊，发现有新发腹水和肺栓塞，遂开始静脉滴注肝素。我们报告一例通过床旁超声（POCUS）诊断腹腔积血的病例。识别腹腔积血可能具有挑战性，但POCUS可为其诊断提供有用的工具。关于腹腔积血的超声特征的文献有限。液体的回声性并非渗出性和漏出性积液之间可靠的鉴别依据。本例腹腔积血的诊断是基于POCUS检查结果随时间的进展，而非其超声特征本身。