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急诊床边超声诊断纵隔血肿致心包外心脏填塞1例

孙振兴,谢明星,李玲,吕清,方凌云,杨亚利

Chinese Journal of Ultrasonography（2013）

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Abstract
患者男,16岁.10h前从4楼坠落,先落在树枝上再着地,当时神智清晰,无口耳鼻出血.急送当地医院行CT检查,提示纵隔少量积液,心包积液,腰椎骨折.10余h后转至我院急诊科.患者入急诊室时烦躁不安,四肢抖动,意识模糊.血压80/60 mm Hg(1 mm Hg=0.133 kPa),心率169次/min.急诊床边超声检查显示心脏大小形态正常,心功能测值减低,左室缩短分数19％,左室射血分数40％.彩色多普勒示二尖瓣口见少量反流血流信号,余瓣膜形态活动正常.
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