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.
■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。