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題 名 | Unexplained Post-traumatic Pneumoperitoneum--A Case Report=胸腹挫傷後不明原因之腹腔積氣--個案報告 |
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作 者 | 張志華; 張珩; | 書刊名 | 中華民國急診醫學會醫誌 |
卷 期 | 1:2 1999.08[民88.08] |
頁 次 | 頁181-186 |
分類號 | 416.242 |
關鍵詞 | 腹腔積氣; 創傷; Pneumoperitoneum; Trauma; |
語 文 | 英文(English) |
中文摘要 | We reported case of pneumoperitoneum in the setting of multiple trauma (blunt chest trauma, blunt abdominal trauma, and fracture-dislocation of the left hip). The initial abdominal CT scan demonstrated intraperitoneal, extraluminal free air. However, exploratory laparotomy revealed no hollow-organ perforation. Literatures regarding uncommon causes of pneumoperitoneum were reviewed. In conclusion, pneumoperitoneum in the setting of blunt abdominal trauma nearly always indicates a perforated abdominal visus that requires surgery. Nonetheless, there are increasing reports in the literature describing traumatic pneumoperitoneum without bowel perforation. Several speculations of air entry were documented including air dissection from pneumothorax, pneumomediastinum, diaphragmatic rupture or barotrauma. In this case, we speculated that the transfallopian route as another possible etiology of nonintestinal pneumoperitoneum. |
英文摘要 | 我們要報告一女性病例因多處鈍創傷而引起腹腔積氣。此病患因腹痛及氣腹而開刀,但手術中並未發現腸胃道或橫隔膜有任何損傷。一般腹部鈍挫傷所引起之腹腔積氣經常是腹內空腔器官破裂所致,而且需要開刀治療。近年來有越來越多之醫學文獻報導鈍挫傷所引起之腹腔積氣在手術中未必會發現腸胃道有損傷。而大多數之病例,其腹腔內的氣體來源不明。有的學者認為此腹腔內的氣體可能來自氣胸、縱隔腔積氣、通氣壓力傷害等等。在我們的報告中,我們認為此女性病例之腹腔積氣極可能是因為其骨盆腔受撞擊時,陰道內之氣體因擠壓通過子宮與輸軟管而進入腹腔內。 |
本系統中英文摘要資訊取自各篇刊載內容。