Rapid detection of recurrent intraventricular hemorrhage by ultrasound in a multiple trauma patient who had undergone craniectomy 英文参考文献.docVIP

Gao et al. Critical Care 2012, 16:459 /content/16/6/459 LETTER Rapid detection of recurrent intraventricular hemorrhage by ultrasound in a multiple trauma patient who had undergone craniectomy u-YZhi Gao , Gu ang-Ju Zhou , Mao Zhang *, Shou-Quan Chen and Jian-Xin Gan 1,2 1 1, 3 1 Lumbar cistern tube drainage was performed on day 19. Unfortunately, he suddenly developed dilated pupils on day 20. Bedside ultrasound and a head CTscan were arranged immediately, both showing recurrence of IVH Abstract Ultrasound may be a useful tool to evaluate intracranial abnormalities in critically ill patients undergoing decompressive craniectomy. We present a multiple trauma patient who had undergone craniectomy and in whom recurrent intraventricular hemorrhage and patterns of cerebral blood ?ow were rapidly detected by ultrasound. (Figure e family refused further treatment and he then became brain dead (Figure 1). Ultrasound is a useful tool to evaluate intracranial abnormalities in patients undergoing decompressive craniec omt y. e absence of the skull may facilitate the ultrasound to detect the brain, and intracranial morphological abnormal signs such as dislocation of the midline, intracerebral hematomas, size of lateral ventri- cular and hydrocephalus may be clearly displayed on the Ultrasound has been widely used for rapid assessment of critical illness and is regarded as a visual stethoscope. ere are few reports on the diagnosis of intracranial lesions by ultrasound in ICU patients. Here we present a multiple trauma patient who had undergone craniectomy and in whom recurrent intraventricular hemorrhage was rapidly detected by ultrasound. scre is rapid and non-invasive method can complement the