PDF(Pubmed)
Abstract：
UNASSIGNED: During the novel coronavirus disease 2019 (COVID-19) pandemic, rapid diagnostics have been frequently sought to quickly evaluate a patient\'s condition. Lung ultrasound can provide an early glimpse into the disease process and its severity. The addition of focused echocardiography can be particularly helpful in the haemodynamically compromised patient to detect myocardial involvement and alternative diagnoses.
UNASSIGNED: We discuss here a 53-year-old patient who presented to the Emergency Department with hypoxia and hypotension. Bedside focused ultrasound revealed signs of COVID-19 pneumonia with evidence of right ventricular strain, initially thought to be due to massive pulmonary embolism. A computed tomography scan confirmed the findings on ultrasonography, but surprisingly did not demonstrate a pulmonary embolism.
UNASSIGNED: Point-of-care ultrasound in COVID-19 aided the diagnosis of affected organs and helped categorise the type of shock in this patient; however, right ventricular dysfunction should be interpreted with caution and may not be due to a pulmonary embolism, as in this case.
UNASSIGNED: We discuss here a 53-year-old patient who presented to the Emergency Department with hypoxia and hypotension. Bedside focused ultrasound revealed signs of COVID-19 pneumonia with evidence of right ventricular strain, initially thought to be due to massive pulmonary embolism. A computed tomography scan confirmed the findings on ultrasonography, but surprisingly did not demonstrate a pulmonary embolism.
UNASSIGNED: Point-of-care ultrasound in COVID-19 aided the diagnosis of affected organs and helped categorise the type of shock in this patient; however, right ventricular dysfunction should be interpreted with caution and may not be due to a pulmonary embolism, as in this case.
摘要：
■在2019年新型冠状病毒病（COVID-19）大流行期间，人们经常寻求快速诊断以快速评估患者的病情。肺部超声可以提供对疾病过程及其严重程度的早期了解。在血流动力学受损的患者中，增加聚焦超声心动图特别有助于检测心肌受累和其他诊断。
■我们在这里讨论一名53岁的患者，他因缺氧和低血压而出现在急诊科。床边聚焦超声显示COVID-19肺炎的迹象，有右心室劳损的证据，最初认为是由于大面积肺栓塞.计算机断层扫描证实了超声检查的结果，但令人惊讶的是没有发现肺栓塞。
COVID-19的点护理超声有助于诊断受影响的器官，并有助于对该患者的休克类型进行分类；然而，右心室功能障碍应谨慎解释，可能不是由于肺栓塞，在这种情况下。
■我们在这里讨论一名53岁的患者，他因缺氧和低血压而出现在急诊科。床边聚焦超声显示COVID-19肺炎的迹象，有右心室劳损的证据，最初认为是由于大面积肺栓塞.计算机断层扫描证实了超声检查的结果，但令人惊讶的是没有发现肺栓塞。
COVID-19的点护理超声有助于诊断受影响的器官，并有助于对该患者的休克类型进行分类；然而，右心室功能障碍应谨慎解释，可能不是由于肺栓塞，在这种情况下。
