在护理点下肢压缩超声波期间实时捕捉血栓栓塞
Michael F Barton1, Kailynn M Barton2, Mark Chottiner1
1Department of Medicine, Section of Emergency Medicine, University of Chicago, Chicago, IL.
Annals of emergency medicine
|September 16, 2025
概括
在超声波期间,探针诱导的深静脉血栓 (DVT) 脱离可以导致肺栓塞. 这一案例凸显了在DVT诊断过程中压缩的风险,以及如果发生栓塞,需要立即评估.
科学领域:
- 血管医学 血管医学
- 诊断成像 诊断成像 诊断成像
- 心脏病学 心脏病学
背景情况:
- 压缩超声波是诊断下肢深静脉血栓症 (DVT) 的标准.
- 虽然很少见,但在超声波期间探针诱导的血栓脱离可能导致严重的并发症,如肺栓塞 (PE).
- 卵孔可以增加对大脑和其他器官的栓塞事件的风险.
研究的目的:
- 在床边超声波期间报告一个探针诱导的深静脉血栓脱离的病例.
- 为了强调在DVT诊断期间压缩诱导栓塞的潜力.
- 突出控制压缩和立即PE评估的重要性.
主要方法:
- 一名65岁的妇女因怀疑DVT而接受了常规的护理点超声波检查.
- 超声波捕获了非可压缩的股骨中部DVT的实时脱离.
- 计算机断层扫描肺血管扫描用于评估肺栓塞.
主要成果:
- 脱离的DVT导致了双边亚细分肺栓塞.
- 该事件在诊断超声波过程中被实时捕获.
- 患者的病情强调了在超声波期间压缩相关的风险.
结论:
- 在下肢DVT诊断期间,压缩诱导的栓塞是可能的.
- 在超声波期间控制压缩压力至关重要.
- 当在DVT超声波中观察到栓塞时,需要立即评估肺栓塞.
相关概念视频
Venous Thrombosis III: Interprofessional Care
280
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
280
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
294
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
294
Ultrasonography
7.3K
Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
During an ultrasonography procedure, a handheld device called...
7.3K
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
329
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
329


