破裂的腹腔大动脉动脉瘤被发现的口袋大小的超声波在一个低资源的设置:一个案例报告
Ihab Alasasfeh1, Rawan Abudawood2, Bayan E Hwidi3
1Department of General Surgery, Emergency Medicine Unit/Jordan University Hospital, School of Medicine, The University of Jordan, Amman, Jordan. I.alasasfeh@ju.edu.jo.
International journal of emergency medicine
|January 17, 2024
概括
小尺寸的护理点超声波 (POCUS) 有助于诊断腹腔大动脉动脉瘤破裂 (AAA) 在一个缺乏资源的急诊室. 这个案例强调了POCUSUS的意义.
科学领域:
- 紧急医疗 紧急医疗
- 血管外科 血管外科
- 护理中心超声波检查
背景情况:
- 腹腔大动脉动脉瘤 (AAA) 是一种危险的疾病,影响着老年男性,吸烟者和高血压患者.
- 破裂的AAA是一个致命的并发症.
- 在资源有限的环境中,用于AAA诊断的口袋式超声波的实用性尚未得到充分探索.
研究的目的:
- 报告一个疑似破裂的AAA病例,在一个资源有限的急诊室使用口袋式超声波诊断.
- 要突出在资源有限的环境中对AAA检测的点照顾超声波 (POCUS) 的潜力.
主要方法:
- 一名78岁的男性患有高血压,出现腹痛,后来倒.
- 护理点超声波 (POCUS) 揭示了一个8厘米膨胀的腹腔大动脉与内脏,暗示切割AAA.
- 患者接受了复苏,但不幸的是他去世了.
主要成果:
- 口袋大小的POCUS成功地发现了带有剖析迹象的大腹主动脉动脉瘤.
- 诊断是在一个缺乏标准超声波设备和训练有素人员的急诊室进行的.
结论:
- 在患有风险因素和腹痛的患者中考虑AAA至关重要,特别是在资源较低的环境中.
- 小型的POCUS可以促进AAA的早期检测,并通过及时干预,潜在地防止断裂.
- 紧急服务部门应该提高超声波的可用性和医生的关键诊断能力.
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