PDF(Pubmed)
Abstract：
Intensive care physicians are tasked with managing patients with complex organ disorders, necessitating a broad skill set and ongoing education. While simulation training often focuses on equipment handling, this case report highlights a critical instance of acute aortic dissection initially missed on imaging during intensive care unit (ICU) admission. An 86-year-old woman with multiple comorbidities presented with respiratory symptoms and electrolyte imbalances, ultimately requiring ICU admission. Despite initial inconclusive imaging and treatment for suspected conditions, further evaluation revealed a dissecting aneurysm of the descending aorta. This case underscores the importance of thorough diagnostic evaluation and ongoing vigilance, especially in older adults with multiple health conditions. It emphasizes the need for comprehensive education, including proactive training in image diagnosis, to recognize diverse medical presentations and potential complications. This case serves as a reminder of the evolving challenges in critical care and the necessity for continuous education and adaptability to ensure optimal patient outcomes.
摘要：
重症监护医生的任务是管理患有复杂器官疾病的患者，需要广泛的技能和持续的教育。虽然模拟训练通常侧重于设备处理，本病例报告重点介绍了重症监护病房(ICU)入院时影像学检查最初漏诊的一例急性主动脉夹层.一名86岁的女性患有多种合并症，出现呼吸道症状和电解质失衡，最终需要入住ICU。尽管最初对可疑情况的成像和治疗尚无定论，进一步评估显示降主动脉夹层动脉瘤。这一案例强调了彻底的诊断评估和持续警惕的重要性，特别是在有多种健康状况的老年人中。它强调全面教育的必要性,包括图像诊断的主动培训，识别不同的医学表现和潜在的并发症。此案例提醒人们，重症监护中不断发展的挑战以及持续教育和适应性以确保最佳患者预后的必要性。
