POCUS 在评估急性主动脉血栓中的作用。

POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI:10.24908/pocus.v8i2.16480
Zachary Boivin, Emily Mensel, Trent She
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引用次数: 0

摘要

一名 67 岁的女性患者因腹痛就诊,近期诊断为阵发性心房颤动。腹部计算机断层扫描(CT)显示存在主动脉血栓充盈缺损。护理点超声检查(POCUS)证实腹主动脉近端有一个移动血栓,紧邻几条主要动脉分支,由于担心肠系膜和内脏器官缺血,医生紧急进行了手术会诊。在这一新颖病例中,POCUS 在确定患者治疗方案方面发挥了作用,患者接受了抗凝治疗并最终出院。
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Role of POCUS in Assessing an Acute Aortic Thrombus.

A 67-year-old female patient presented with abdominal pain with a recent diagnosis of paroxysmal atrial fibrillation. Computed tomography (CT) of the abdomen demonstrated a filling defect concerning for an aortic thrombus. Point of care ultrasound (POCUS) confirmed a mobile thrombus in the proximal abdominal aorta in close proximity to several major arterial branches, leading to urgent surgical consultation due to a concern for mesenteric and end-organ ischemia. POCUS played a role in determining patient management in this novel case, and the patient was anticoagulated and ultimately discharged from the hospital.

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