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相關文獻
- Delayed Presentation of Duodenal Perforation after a Blunt Abdominal Injury--A Case Report
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頁籤選單縮合
題 名 | Delayed Presentation of Duodenal Perforation after a Blunt Abdominal Injury--A Case Report=腹部挫傷後十二指腸穿孔的遲發性表現--病例報告 |
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作 者 | 江瑞坤; 林志文; 魏昌國; 胡勝川; | 書刊名 | 慈濟醫學 |
卷 期 | 17:3 民94.06 |
頁 次 | 頁191-193+203 |
分類號 | 416.243 |
關鍵詞 | 腹部鈍傷; 十二指腸傷害; 十二指腸穿孔; Blunt abdominal contusion; Duodenal injury; Duodenal perforation; |
語 文 | 英文(English) |
中文摘要 | 腹部鈍傷造成單獨十二指腸傷害是少很少見的,十二指腸是位於後腹腔的器官,由於初期常常幾乎沒什麼臨床症狀,大部分病人都是晚期造成腹膜炎才被診斷出來,使用顯影劑電腦斷層檢查是診斷有無腸外自由空氣及液體的理想工具,病人的預後多與合併的其它外傷有關。藉由進步的電腦斷層影像合成,本例在術前即已偵測出十二指腸破裂之處。早期懷疑、早期診斷、早期治療是減少死亡率的方法。 |
英文摘要 | The duodenum is an organ in the retroperitoneum and a single injury from a blunt abdominal injury is rare. Thus, delayed presentation and missed diagnosis are often seen. We present a case with blunt abdominal contusion resulting from a motorcycle accident. The patient returned to the Emergency department 17 hours after being discharged due to the progressive peritoneal symptoms. The computerized tomographic (CT) scan is an ideal tool for the possible need of laparotomy by detecting the extra-bowel free air and fluid. Laparotomy is nearly the only method to localize the position of perforation and to treat the disease. Early identification and treatment are the key points to decreasing the mortality rate. With the help of the reconstructive function of the CT scan, we detected the location of perforation before the operation. |
本系統中英文摘要資訊取自各篇刊載內容。