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頁籤選單縮合
題名 | Klebsiella Pneumoniae肝膿瘍併發肺部敗血性栓塞=Septic Pulmonary Embolism due to Klebsiella Pneumoniae Associated with a Pyogenic Liver Abscess |
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作者 | 楊博文; 鄭舒倖; 李世偉; 何惠櫻; 羅世慧; | 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85-90 |
分類號 | 415.35、415.35 |
關鍵詞 | 糖尿病; 肝膿瘍; 肺部敗血性栓塞; Diabetes mellitus; Liver abscess; Septic pulmonary embolism; |
語文 | 中文(Chinese) |
中文摘要 | 肺部敗血性栓塞的臨床症狀如發燒、咳嗽與咯血並不具特異性。我們提出一位因畏寒、發燒、右側胸痛與上腹部疼痛三日而到急診室求治的糖尿病病患,該病患的腹部超音波顯示多處肝膿瘍,雖然胸部X光片無明顯異常,腹部電腦斷層掃描卻發現下肺葉接近橫隔膜處有肺部敗血性栓塞。病患住院後出現低血氧,追蹤胸部X光片顯示多處肺部結節病灶,病患在接受適當的抗生素治療後順利出院。使用腹部電腦斷層掃描評估肝膿瘍並有胸痛症狀的病患時,應利用lung window檢視靠近橫隔膜處是否有肺部敗血性栓塞。 |
英文摘要 | Septic pulmonary embolism (SPE) generally presents with nonspecific symptoms such as fever, cough or hemoptysis. We report a diabetic patient who suffered from chills, fever, right chest pain and epigastric pain for three days. Abdominal sonography revealed multiple liver abscesses. Although the chest film did not show any suspicious lesions such as SPE, SPE near the diaphragm was found by abdominal computed tomography (CT).Hypoxia occurred during hospitalization and a follow-up chest film disclosed bilateral lung nodules. The patient recovered well after adequate antibiotics treatment. The interpretation of abdominal CT scans of diabetic patients with liver abscess who complain of chest pain should include inspection for SPE across the lower lung field. |
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