查詢結果分析
相關文獻
- Ileal Perforation with Peritonitis Caused by a Fish Bone: Report of a Case
- Preoperative Imaging Diagnosis of Fish Bone Perforation of the Gastrointestinal Tract
- 腦中風患者吞嚥功能臨床評估可靠性之探討
- Molecular Analysis and Prenatal Diagnosis of β-Thalassemia in Taiwanese: A Current Status Review
- 專家系統振動訊號圖型判別之研究
- 以QBC[feb9]血液寄生蟲檢測法診斷瘧疾之效率
- Prenatal Diagnosis and Postnatal Management of Fetal Neuroblastoma: Report of Four Cases
- Preoperative Ultrasonographic Diagnosis of Occult Epigastric Hernia Presenting with Recurrent Abdominal Pain: Report of a Case
- Prenatal Diagnosis and Perinatal Outcome of Facial Clefts
- Prenatal Diagnosis of Lethal Osteogenesis Imperfecta: Report of a Case
頁籤選單縮合
題名 | Ileal Perforation with Peritonitis Caused by a Fish Bone: Report of a Case=因魚刺穿刺所致之迴腸穿孔與腹膜炎:一病例報告 |
---|---|
作者姓名(中文) | 邱志文; 吳漢屏; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷期 | 20:1 2009.03[民98.03] |
頁次 | 頁40-44 |
分類號 | 416.243 |
關鍵詞 | 迴腸穿孔; 魚刺; 診斷; Intestinal perforation; Fish bone; Diagnosis; |
語文 | 英文(English) |
中文摘要 | 因魚刺穿刺所致之小腸穿孔並不常見,但要在手術之前診斷出來則更加困難。本文報告一位91歲男性病患於前一天晚餐之後感到上腹疼痛以及腹部肌肉僵硬。經由電腦斷層檢查發現其迴腸壁增厚且有金屬般異物置入,同時,由於無法排除小腸穿孔與腹膜積氣,因而進行緊急外科手術。手術發現迴腸因魚刺刺穿而破裂並伴有混濁之腹水,部分迴腸也因而遭切除。此病患最後順利出院且住院過程十分平順。我們因而認為正確診斷與立即外科手術介入是達到良好預後最重要的因素。 |
英文摘要 | Small bowel perforation by a fish bone is unusual, and the preoperative diagnosis is difficult. We report a 91-year-old man who had a sudden onset of upper abdominal pain with muscle guarding after a meal. Computed tomography of the abdomen revealed a thickened ileum, and with suspicion of a metal foreign body in the intestine, together with multiple gallbladder stones and cholecystitis. Also, intestinal perforation and pneumoperitoneum could not be ruled out. He had immediate surgical intervention and an ileal perforation caused by a fish bone with turbid ascites was diagnosed. A partial resection of the small intestine and cholecystectomy were performed. The patient’s hospital course was smooth and he was discharged home in good condition. An accurate diagnosis and emergency surgical intervention may have aided in the good results in this case. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。