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本文引用的文献

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Cureus. 2023 Jun 3;15(6):e39917. doi: 10.7759/cureus.39917. eCollection 2023 Jun.
2
Ultrasound Imaging of the Abdominal Aorta: A Comprehensive Review.腹部主动脉的超声成像：全面综述。
J Am Soc Echocardiogr. 2021 Nov;34(11):1119-1136. doi: 10.1016/j.echo.2021.06.012. Epub 2021 Jul 2.
3
Severe acute respiratory syndrome coronavirus 2-induced acute aortic occlusion: a case report.严重急性呼吸综合征冠状病毒 2 引起的急性主动脉闭塞：一例报告。
J Med Case Rep. 2021 Mar 2;15(1):112. doi: 10.1186/s13256-021-02692-x.
4
Point-of-care Ultrasound Diagnosis of Acute Abdominal Aortic Occlusion.床旁超声诊断急性腹主动脉闭塞
Clin Pract Cases Emerg Med. 2020 Jan 23;4(1):79-82. doi: 10.5811/cpcem.2019.11.44311. eCollection 2020 Feb.
5
Methamphetamine Use and Cardiovascular Disease.甲基苯丙胺使用与心血管疾病。
Arterioscler Thromb Vasc Biol. 2019 Sep;39(9):1739-1746. doi: 10.1161/ATVBAHA.119.312461. Epub 2019 Aug 21.
6
Cardiac and Systemic Thrombus Caused by Drug Abuse.药物滥用导致的心脏和全身性血栓形成
Case Rep Cardiol. 2019 Apr 7;2019:5083624. doi: 10.1155/2019/5083624. eCollection 2019.
7
Acute Aortic Occlusion With Spinal Cord Infarction.
Fed Pract. 2018 Aug;35(8):32-35.
8
Acute Aortic Occlusion.急性主动脉闭塞
Circulation. 2019 Jan 8;139(2):292-294. doi: 10.1161/CIRCULATIONAHA.118.036420.
9
A modern series of acute aortic occlusion.一组现代急性主动脉闭塞病例
J Vasc Surg. 2014 Apr;59(4):1044-50. doi: 10.1016/j.jvs.2013.10.080. Epub 2014 Jan 3.
10
Transthoracic echocardiography for the diagnosis of left ventricular thrombosis in the postoperative care unit.经胸超声心动图在术后监护病房用于左心室血栓的诊断。
Crit Care. 2011;15(1):R54. doi: 10.1186/cc10025. Epub 2011 Feb 9.

急性主动脉闭塞：一份床旁超声病例报告。

Acute aortic occlusion: A point-of-care ultrasound case report.

作者信息

Newman Erin

机构信息

Shellharbour Hospital Mount Warrigal New South Wales Australia.

出版信息

Australas J Ultrasound Med. 2024 Jul 29;27(4):254-258. doi: 10.1002/ajum.12404. eCollection 2024 Nov.

DOI:10.1002/ajum.12404
PMID:39734618
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11671735/
Abstract

INTRODUCTION

Acute aortic occlusion (AAO) is a rare vascular emergency with significant associated morbidity and mortality.

METHODS

This case report discusses a 39-year-old gentleman with methamphetamine-associated cardiomyopathy (MACM) who presented with bilateral lower limb ischaemia. A POCUS was performed to rapidly evaluate the patient on arrival, which demonstrated AAO. A literature review was conducted to identify similar cases where AAO was detected by POCUS.

RESULTS

POCUS showed a left ventricular thrombus (LVT), an embolus in the distal abdominal aorta and no flow distal to the embolus, which is consistent with AAO. The patient was successfully reperfused and had a good outcome after a timely diagnosis and management.

DISCUSSION

This case report outlines a rare pathology in an uncommon age group where POCUS can expedite diagnosis and management.

CONCLUSION

POCUS is a valuable tool, which can expedite and facilitate rapid revascularisation of AAO.

摘要

引言

急性主动脉闭塞（AAO）是一种罕见的血管急症，伴有显著的发病率和死亡率。

方法

本病例报告讨论了一名39岁患有甲基苯丙胺相关性心肌病（MACM）的男性，他出现双侧下肢缺血。在患者入院时进行了床旁超声检查（POCUS）以快速评估病情，结果显示为AAO。进行了文献综述以确定通过POCUS检测到AAO的类似病例。

结果

POCUS显示左心室血栓（LVT）、腹主动脉远端有栓子且栓子远端无血流，这与AAO相符。患者经及时诊断和治疗后成功实现再灌注，预后良好。

讨论

本病例报告概述了在一个不常见年龄组中出现的罕见病理情况，其中POCUS可加快诊断和治疗。

结论

POCUS是一种有价值的工具，可加快并促进AAO的快速血管再通。