• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Critical Ultrasound Journal >Hepatic and portal vein Dopplers in the clinical management of patients with right-sided heart failure: two case reports
【24h】

Hepatic and portal vein Dopplers in the clinical management of patients with right-sided heart failure: two case reports

机译：肝和门静脉多普勒在右侧心力衰竭患者的临床管理中的两例报道

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Abstract BackgroundPatients with right heart failure pose significant volume management challenges for hemodynamic optimization. We present two cases in which point of care ultrasound (POCUS) of the hepatic and portal veins contributed to the venous hypertension assessment and decongestive strategy for patients with right-sided heart failure.Case presentationPatient A was 91?years old with known pulmonary hypertension and right ventricular systolic dysfunction who presented in septic shock requiring vasopressor support. Hepatic and portal vein Dopplers were consistent with right heart failure and significant venous congestion, therefore, diuresis was initiated which resulted in portal flow normalization, renal recovery, and cessation of vasopressor support. Patient B was 82?years old with severe idiopathic pulmonary fibrosis on home oxygen who presented in decompensated right heart failure. Despite aggressive diuresis, a negative fluid balance was not achieved. The patient continued to deteriorate and prior to their death portal vein, Doppler showed significant flow reversal.ConclusionHepatic and portal vein Doppler ultrasounds are venous hypertension assessment tools that can be readily used at the bedside by clinicians trained in POCUS that may contribute holistically to the hemodynamic profiling for patients with right heart failure and direct therapeutic interventions.
机译：摘要背景患有右心衰竭的患者对血液动力学优化提出了重大的体积管理挑战。我们介绍了两例肝和门静脉的即时超声（POCUS）有助于右侧心力衰竭患者的静脉高压评估和充血策略。病例介绍患者A为91岁，患有已知的肺动脉高压和感染性休克时出现右心室收缩功能障碍，需要血管加压药支持。肝和门静脉多普勒检查符合右心衰竭和严重的静脉充血，因此开始利尿，导致门脉血流正常化，肾脏恢复和停止升压药。患者B为82岁，患有严重的特发性肺部纤维化，其家庭供氧并伴有失代偿性右心衰竭。尽管利尿作用剧烈，但并未达到负液平衡。患者持续恶化，在死亡前门静脉多普勒显示明显的血流逆转。结论肝和门静脉多普勒超声检查是静脉高压评估工具，接受过POCUS培训的临床医生可在床旁轻松使用，可能对血流动力学有整体性影响对患有右心衰竭的患者进行分析，并进行直接的治疗干预。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号