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相關文獻
- Unilateral Adrenal Hemorrhage after Blunt Abdominal Injury: A Case Report and Literature Review
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題名 | Unilateral Adrenal Hemorrhage after Blunt Abdominal Injury: A Case Report and Literature Review=腹部鈍傷後合併單側腎上腺出血:病例報告及文獻回顧 |
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作者 | 許兆畬; 李建達; 田雨生; 鄭紹宇; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 33:5 民89.09-10 |
頁次 | 頁255-259 |
分類號 | 416.273 |
關鍵詞 | 腹部鈍傷; 單側腎上腺出血; Adrenal hemorrhage; Blunt abdominal injury; |
語文 | 英文(English) |
中文摘要 | 本文報告--34歲女性因車禍送至本院,到院時生命跡象穩定,主述右側胸痛及右上腹疼痛。經腹部電腦斷層檢查顯示右側腎上腺有一腫瘤病灶,約40 H.U.另外在肝臟部分則有一塊出血區域。困生 化檢查,包括VMA,cortisol, aldosterone,及血清鈉鉀離子均正常,故病患、接受保守治療。六個月後病患再次於門診追蹤治療,再次的腹部電腦斷層檢查顯示右側腎上腺組織為正常大小。證實為單側的腎上腺出血。病患於門診追蹤則無不正常發現。報告此例除文獻回顧,並強調下側胸部及上腹部頓挫傷需注意腎上腺出血的可能性。並且必須對雙側大量腎上腺出血提高警覺,必要時可給予類固醇藥物的治療。 |
英文摘要 | A 34-year-old woman was seized with right side chest and abdominal pain after a blunt injury during a motor vehicle accident. On arrival at our emergency department, her vital signs were stable. The sonogram revealed a mass over ber right adrenal gland and computed tomography (CT) scan with contrast medium for the abdomen showed a mass lesion around 40 Hounsfield units (HU). Additionally, a patch of intrahepatic hemorrhage was noted in the right lobe of the liver, about 4 X 2cm. The biochemical test results included: cortisol, aldosterone, vanillylmandelic acid(VMA), sodium and potassium concentration were within reference ranges. Conservative treatment was implemented. Six months after admission, follow-up CT scans revealed complete resolution of the hepatic and the adrenal lesions. Hemorrhages of the adrenal gland had spontaneously resolved. The patient had recovered without any complications. We present this case and review similar reports in the literature. Reports of unilateral adrenal hemorrhage after blunt abdominal injury have been rare. We emphasize the importance of careful inspection of the adrenal glands for patients in whom lower thoracic or upper abdominal injuries are encountered. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。