查詢結果分析
來源資料
相關文獻
- Autoamputation Following Transendoscopic Sympathectomies for Peripheral Arterial Occlusion
- 早期聲門癌以內視鏡二氧化碳雷射顯微手術治療的長期追蹤結果
- Intraluminal Mucin Pool in Mucinous Gastric Adenocarcinoma: A Case Report
- Biliary Ascariasis Induced Acute Pancreatitis: A Case Report
- Spontaneous Cerebrospinal Fluid Rhinorrhea: A Case Report
- Evaluation of Topographic Gastric Histology in H. Pylori Infection--A Comparative Study with CLO Test and Bacterial Culture
- Pediatric Rhinosinusitis with Intraorbital Subperiosteal Abscess: A Case Report
- 應用內視鏡的探測來移除上顎竇內之牙齒殘根--病例報告
- Endoscopic Management of Orbital Abscess--Case Report
- 孤立性蝶竇麴菌症--病例報告
頁籤選單縮合
題 名 | Autoamputation Following Transendoscopic Sympathectomies for Peripheral Arterial Occlusion=以內視鏡進行交感神經節燒灼術治療慢性動脈阻塞及自動截肢的經驗 |
---|---|
作 者 | 林忠男; 吳玉娟; 王乃弘; | 書刊名 | 臺灣外科醫學會雜誌 |
卷 期 | 34:6 民90.11-12 |
頁 次 | 頁309-313 |
分類號 | 416.29 |
關鍵詞 | 內視鏡; 交感神經節燒灼術; 慢性動脈阻塞; 自動截肢; Peripheral arteriosclerosis obliterans; PAO; Endoscopic sympathectomy; Autoamputation; |
語 文 | 英文(English) |
英文摘要 | A 76-year-old female patient with a diagnosis of chronic peripheral arteriosclerosis obliterans(PAO)due to long term abuse of corticosteroid had presented with acute vasospastic symptoms of coldness,cyanosis!Aulcerations and rest pain of her four limbs for three days.On admission,angiographic findings showed severe vasculitis and arteriosclerotic change of her femoral, popliteal, posterior tibial,radial as well as ulnar arteries.Medical trial didn't show any improvement.After careful evalnatior to see no possibility of angioplasty or revascularization,she was scheduleded for two divided prdcedures including bilateral T2-T3 and LI-L3 sympathectomies using an endoscope. The post-operative result was exceilent with complete resolution of symptoms. All toes were preserved and progressive dry gangrene changes of seven out of ten ischemic fingers were observed.They underwent spontaneous autoamputation during a period of ten months, therefore, avoided the unnecessary surgical amputation.The authors recommend that endoscopic sympathectomy may serve as a good choice for such patients.The phenomenon of autoamputation will provide an alternative management for dry gangrene in selected cases if they are dainless, infection-free and confined to the terminal portion of digit. |
本系統中英文摘要資訊取自各篇刊載內容。