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相關文獻
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頁籤選單縮合
題名 | Esophageal Perforation from a Fish Bone was Complicated by Pericarditis and Recurrent Stroke in an Acute Stroke Patient=魚骨穿刺造成食道破裂併發心胞炎及再發性中風:病例報告 |
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作者姓名(中文) | 蔡慧虹; 謝青華; 呂宏益; 林祖功; 呂鎮中; 陳尚德; | 書刊名 | Acta Neurologica Taiwanica |
卷期 | 12:2 2003.06[民92.06] |
頁次 | 頁81-84 |
分類號 | 416.241 |
關鍵詞 | 魚骨穿刺; 食道破裂; 心胞炎; 再發性中風; Stroke; Esophageal perforation; Pericarditis; Mediastinitis; Atrial fibrillation; |
語文 | 英文(English) |
英文摘要 | Early diagnosis of esophageal perforation by foreign body impalement in acute stroke is difficult because of the accompanying masking neurological symptoms. Delayed detection of esophageal perforation results in devastating complications such as mediastinitis and pericarditis. Furthermore, atrial fibrillation, due to acute pericarditis, may aggravate the clinical condition as a result of increased incidence of recurrent stroke. Here we present a 59-year-old male patient who sustained an acute stroke followed by fish bone impalement in the esophagus. This was complicated by esophageal perforation with subsequent acute mediastinitis, pericarditis, and recurrent stroke with multiple cerebral infarcts. Even with thoracotomy, mediastinal drainage and broad-spectrum antibiotics, the patient passed away. This case highlights the importance of alertness and early diagnosis in the acute stroke patient with a history of fish bone impalement. |
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