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題名 | Defecation Syncope with Pulmonary Embolism-A Case Report and Literature Review=肺栓塞所引起之排便後昏厥--病例報告與文獻回顧 |
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作 者 | 李肇瑞; 李文輝; 龔嘉德; 鍾昆融; 劉博銘; | 書刊名 | 臺灣急診醫學會醫誌 |
卷期 | 9:3 2007.09[民96.09] |
頁次 | 頁88-92 |
分類號 | 415.46 |
關鍵詞 | 排便後昏厥; 肺栓塞; 急性腹瀉; defecation syncope; pulmonary embolism; acute diarrhea; |
語文 | 英文(English) |
中文摘要 | 肺栓塞是一個常見的高致命疾病。一個好的臨床醫師,應儘快診斷出肺栓塞,因為及早診斷,有助於減少罹病率及死亡率。排便後昏厥是一個罕見的昏厥情況,過去,肺栓塞並未被納入其鑑別診斷。我們在此提出一個案,72歲的老婦人,在急性腹瀉後發生昏厥的情形,經由心電圖、床邊超音波和胸部電腦斷層檢查,診斷出肺部栓塞併成功地治療。同時亦回顧文獻有關因肺栓塞引起排便後昏厥的診斷及預後。 |
英文摘要 | Pulmonary embolism (PE) is an extremely common and highly lethal condition. A good clinician actively seeks the diagnosis as soon as any suspicion of PE is warranted, because prompt diagnosis and treatment can dramatically reduce the mortality and morbidity of the disease. Defecation syncope is a rare form of syncope and pulmonary embolism has not yet been included in the differential diagnosis of defecation syncope or defecation associated sudden death. Here, we presented a 72-year-old female who suffered from acute diarrhea, which was followed by defecation syncope. After a series of studies, including an electrocardiogram, a bedside echo study and computed tomography of the chest, pulmonary embolism was diagnosed and treated successfully. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。