在护理点超声检查中,在输入膜内破裂尾炎
1From the Department of Pediatrics, Division of Pediatric Emergency Medicine, Johns Hopkins Children's Center, 1800 Orleans Street, Ground Floor, Baltimore, MD.
Pediatric emergency care
|June 5, 2023
概括
护理点超声波 (POCUS) 在儿科患者的输入内发现了穿孔性尾炎. 这一案例凸显了POCUS在诊断罕见的儿科外科紧急情况方面的实用性,指导及时管理.
科学领域:
- 儿科急救医学 儿科急救医学
- 诊断成像 诊断成像 诊断成像
- 手术儿科手术小儿科
背景情况:
- 肠接是儿童常见的手术紧急情况.
- 穿孔性尾炎通常具有明显的临床和成像发现.
- 非典型的表现可能会推迟诊断和治疗.
研究的目的:
- 报告小儿病人的第一个穿孔性尾炎的病例,该病例是在用治疗点超声波 (POCUS) 诊断出来的.
- 证明POCUS在识别罕见和复杂的腹部病理方面的诊断实用性.
- 强调POCUS在指导及时管理儿科外科紧急情况方面的作用.
主要方法:
- 一个21个月大的女孩的病例报告,发烧持续时间长,并怀疑内肠.
- 在儿科急诊室使用点诊超声波 (POCUS) 进行初步评估.
- 使用放射学执行的超声波和计算机断层扫描 (CT) 扫描来确认诊断.
主要成果:
- 波克斯 (POCUS) 显示出一种非可压缩的,形的结构,与内肠置相一致.
- 肠内含有扩张的肠环,表明有的穿孔尾炎.
- 放射学超声波和CT检查证实了小眼球内肠接,并有穿孔性尾炎和相关.
结论:
- 穿孔性尾炎在输入塞内是一种罕见但在儿科患者中至关重要的诊断.
- POCUS可以有效地识别这种非典型的表现,促进早期识别.
- 这一案例强调了POCUS在管理复杂的儿科外科病情方面的价值.
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