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首页> 外文期刊>Canadian Journal of Emergency Medicine >Simple Pneumonia or Something More?: A Case Report and Discussion of Unexpected Empyema Identified by Point-of-Care Ultrasound
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Simple Pneumonia or Something More?: A Case Report and Discussion of Unexpected Empyema Identified by Point-of-Care Ultrasound

机译：单纯性肺炎还是更多？：病例报告和由护理点超声识别出的意外脓胸的讨论

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摘要

There is evidence to suggest that point-of-care ultrasound assessment of the lungs has a higher sensitivity and specificity than chest radiography for the diagnosis of pneumonia. It is unknown if the same is true for pneumonia complications. We present and discuss the case of a 61-year-old woman who presented to the emergency department with confusion, decreased level of consciousness, and signs of sepsis. A chest x-ray revealed a right sided infiltrate. An ultrasound of the patient’s lungs was performed, and revealed a complex loculated fluid collection consistent with an empyema. A chest CT confirmed the diagnosis, and immediate percutaneous drainage was performed.
机译：有证据表明，对于肺炎的诊断，对肺部进行即时超声检查比对胸部X线检查具有更高的敏感性和特异性。肺炎并发症是否真的如此还不清楚。我们介绍并讨论了一名61岁的妇女，她因出现混乱，意识水平下降和败血症的迹象而出现在急诊科的情况。胸部X光检查显示右侧浸润。对患者的肺部进行了超声检查，结果发现与脓胸一致的是复杂的局部积液。胸部CT证实了诊断，并立即进行了经皮引流。

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