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題 名 | 以腹痛為表現的脊椎病變--一病例報告=Abdominal Pain Caused by Thoracoabdominal Radiculopathy |
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作 者 | 鄭尊義; 馮淑芬; 詹光裕; 莊伯祥; 彭文玲; 彭薏雯; 林毓萌; | 書刊名 | 內科學誌 |
卷 期 | 13:4 2002.08[民91.08] |
頁 次 | 頁200-203 |
分類號 | 416.61 |
關鍵詞 | 腹痛; 胸腹椎神經根病變; 退化性關節炎; Abdominal pain; Thoracoabdominal radiculopathy; Degenerative arthritis; |
語 文 | 中文(Chinese) |
中文摘要 | 腹痛的原因,一般常見的為原發於腹腔內之病變,如潰瘍、發炎、阻塞、缺血性、癌症、外傷或轉移性疼痛。由胸腹椎神經根病變所造成的腹痛,對許多醫生而言是相當陌生的,並且在報告上不多見。胸腹椎神經根病變,常以嚴重的胸痛、腹痛、感覺神經病變或體重減輕表現。在此我們報告一個87歲的男性病人,原患有退化性關節炎,因為嚴重腹痛來就醫,經過一連串胃腸道檢查均無發現明顯的病灶。由於病人之腹痛平躺時緩解,坐或立姿則惡化,並且核磁共振顯示T11有明顯之病變,所以決定施行神經阻斷術及物理治療後, 腹痛才得以緩解,最後確定為胸腹椎神經根病變。我們想藉此一病例來提醒臨床醫師,在處理一個有背痛病史,而有腹痛之主訴時,若初步的腸胃道檢查無結論時,應將胸腹椎神經病變列入鑑別診斷。 |
英文摘要 | Abdominal pain could be originated from intra-abdominal lesions; such as, ulcer, inflammation, obstruction, ischemia, malignancy, trauma, or referred pain. Most clinicians, however, are not familiar with the abdominal pain caused by thoracoabdominal radiculopathy, which has been rarely reported. Thracoabdominal radiculopathy often presented with severe chest or abdominal pain, sensory polyneuropathy and weight loss. We presented an 87 years old man who had history of degenerative arthritis and was evaluated for severe abdominal pain. The patient underwent a series of investigations for gastrointestinal diseases, but no definite etiology was established. Under the observation of the effect of posture on the degree of abdominal pain, i.e. worsen on weight-bearing position, along with the radiographic evidence of T11 change in MRI, the patient received nerve block and physical therapy. Subsequently, the abdominal pain was relieved, and the diagnosis of thoracoabdominal radiculopathy was substantiated. We would like to call attention to the clinicians to consider thoracoabdominal radiculopathy in patients with abdominal and back pain when GI workups are unrevealing. |
本系統中英文摘要資訊取自各篇刊載內容。