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相關文獻
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頁籤選單縮合
題名 | Spontaneous Psoas Muscle Hematoma: A Case Report and Literature Review=自發性腰肌血腫:一病例報導及文獻回顧 |
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作者姓名(中文) | 胡家儉; 黃英傑; 江慶鍾; | 書刊名 | 臺灣急診醫學會醫誌 |
卷期 | 9:3 2007.09[民96.09] |
頁次 | 頁80-83 |
分類號 | 416.64 |
關鍵詞 | 血凝病變; 股神經病變; 血腫; 腰肌; Coagulopathy; Femoral neuropathy; Hematoma; Psoas muscle; |
語文 | 英文(English) |
中文摘要 | 自發性腰肌血腫是一種很罕見的疾病。此病好發於血凝病變、或是接受抗凝血治療的患者。我們報導了一位自發性腰肌血腫的患者,他不但沒有創傷、血凝病變的病史,也未接受任何抗凝血治療。經保守治療後,他順利地康復。當急診醫師面臨患者突發性下腹、腹股溝、股關節、或是大腿疼痛,特別是併有同側股神經病變表現時,務必記得鑑別診斷腰肌血腫。此病患者保守治療大多有效,然而一但出血厲害時,務必盡早考慮導管動脈栓塞治療。 |
英文摘要 | Spontaneous hematoma of the psoas muscle is a rare condition. Itis usually found as a complication of coagulopathy or anticoagu-lation therapy. Herein, we reported on a case of psoas muscle hematoma without history of trauma, coagulopathy or anticoagulation therapy. He responded well to conservative treatments and recovered uneventfully. Emergency physicians should consider the spontaneous psoas muscle hematoma as a possibility for their differential diagnoses of patients who present with a sudden onset of lower abdomen, groin, hip and/or thigh pain, especially when presenting together with ipsilateral femoral neuropathy. Conservative treatment is usually effective for such patients; however, transcatheter arterial embolization should be considered early in the treatmentplan, especially for patients with significant bleeding. |
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