查詢結果分析
相關文獻
- Retrosternal Gastric Tube Ulcer Complicated by Pneumopericardium and Pneumomediastinum: A Case Report
- 修磨牙齒導致皮下與縱膈腔氣腫--兩病例報告
- Total Esophageal Reconstuction by an Extended Pedicled Jejunum with Microvascular Augmentation: Long-Term Follow-Up
- 四君子湯抗精神壓力型胃潰瘍之研究
- 胃、十二指腸潰瘍的辨證論治
- Clinical Strategy for Coronary Microvascular Dysfunction in Patients with Chest Pain of Unknown Cause--the Role of Treadmill Exercise Testing
- Immunohistochemical Studies of Transforming Growth Factor-β and Its Receptors in the Gastric Mucosa of Patients with Refractory Gastric Ulcer
- 豬脫肛和胃潰瘍之新病因研究報告和認識
- A Possible Protective Mechanism by Zinc Sulfate Against Ethanol-Induced Gastric Ulceration in Rats
- Changes of Gastric Mucosal Blood Flow in Gastric Ulcer Patients
頁籤選單縮合
題 名 | Retrosternal Gastric Tube Ulcer Complicated by Pneumopericardium and Pneumomediastinum: A Case Report=食道重建後之胃潰瘍引發心包膜及縱膈氣腫的病例報告 |
---|---|
作 者 | 何世偉; 吳肇鑫; 陳永福; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷 期 | 19:2 2008.06[民97.06] |
頁 次 | 頁60-64 |
分類號 | 416.2421 |
關鍵詞 | 胸痛; 食道重建; 胃潰瘍; 縱膈腔氣腫; 心包膜氣腫; Chest pain; Esophagoplasty; Peptic ulcer; Pneumomediastinum; Pneumopericardium; |
語 文 | 英文(English) |
中文摘要 | 因胃作食道重建後的胃潰瘍引發心包膜及縱膈氣腫的個案並不常見,在此報告一位曾接受利用胃作食道重建的73歲男性個案,其主訴是胸痛及呼吸困難,胸部X光檢查呈現縱膈氣腫,而電腦斷層則診斷為心包膜及縱膈氣腫,隨後立即安排緊急手術包括把重建的胃摘除、十二指腸造口術、心包膜部分切除及胸管放置,一方面進行修補工作,另一方面則是避免致命性的併發症。手術發現及病理報告皆證實為胃潰瘍併胃穿孔至心包膜。此病人最後順利康復出院。 |
英文摘要 | Pneumopericardium and pneumomediastinum caused by retrosternal gastric tube ulcer after esophagoplasty is rare. A 73-year-old man who had received retrosternal esophageal reconstruction with gastric tube presented to the emergency department with chest pain and dyspnea. Chest radiography revealed pneumomediastinum, and chest computed tomography (CT) revealed conditions of pneumopericardium and pneumomediastinum. Emergency surgery including removal of retrosternal gastric tube, duodenostomy, partial pericardiectomy and tube thoracostomy was performed to repair the lesion and prevent life threatening complications. Perforation of a peptic ulcer from the retrosternal gastric tube into the pericardium was found during surgery and the diagnosis was proved by pathology. The patient recovered uneventfully. |
本系統中英文摘要資訊取自各篇刊載內容。