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頁籤選單縮合
題名 | Secondary Aortoduodenal Fistula=次發性主動脈十二指腸瘻管 |
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作者 | 張孟維; 詹逸凌; 謝宏昌; 張詩鑫; Chang, Meng-wei; Chan, Yi-ling; Hsieh, Hung-chang; Chang, Shy-shin; |
期刊 | 長庚醫學 |
出版日期 | 20020900 |
卷期 | 25:9 2002.09[民91.09] |
頁次 | 頁626-630 |
分類號 | 416.263 |
語文 | eng |
關鍵詞 | 次發性主動脈腸道瘻管; 腹腔主動脈重建手術; 上消化道出血; 主動脈瘤; 次發性主動脈十二指腸瘻管; Secondary aortoenteric fistula; Abdominal aortic reconstruction; Upper gastrointestinal bleeding; Aortic aneurysm; Secondary aortoduodenal fistula; |
中文摘要 | 次發性主動脈腸道?管是腹腔主動重建手術後相當少見但嚴重的併發症,通常在術後幾個月到幾年之內發生。上消化道出血是它最常出現的症狀,外科手術是唯一的治療方式。若未早期發現與治療,死亡率相當的高。我們報告一例主動脈瘤患者,在術後第20天出現上消化道出血合併低血溶性休克,經緊急剖腹探查手術,發現在主動脈與十二指腸間有一?管產生,雖經手術切除,病患還是在48小時後死亡。隨著老年化人口與主動脈重建手術的增加,在未來,次發性主動脈腸道?管發生率會有增加的趨勢。臨床醫師必須有高度的警覺性與認知,才能診斷此種高危險性急症。 |
英文摘要 | Secondary aortoenteric fistula (SAF) is now recognized as an uncommon but exceedingly important complication of abdominal aortic reconstruction. The complication often occurs months to years after the original surgery The main clinical manifestation of the disease is always upper gastrointestinal bleeding. Treatment of the disease is early surgical intervention. The mortality is high if no prompt operation. We present a case of secondary aortoduodenal fistula (SADF) found 20 days after aortic reconstructive surgery, with the clinical presentation of upper gastrointestinal bleeding. Even immediate exploratory laparotomy was performed, the patient died 48 hrs after the surgical management. Because of the increasing number of elective aortic aneurysm repairs in the aging population, it is likely that more patient with SAF will present to the clinical physicians in the future. So, a high index of suspicion is necessary for prompt diagnosis and treatment of this actually lift-threatening event. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。