查詢結果分析
相關文獻
- Incidence and Management of Iatrogenic Colonoscopic Perforations
- 大腸鏡術後之脾臟破裂--一病例報告及文獻整理
- An Unusual Complication of a Bleeding Serosal Tear after Colonoscopy: A Case Report
- Sigmoid Serosal Lacerations during Colonscopy--An Unusual and Fatal Complication: Report of a Case
- HELLP Syndrome with Antepartum Pulmonary Edema--A Case Report
- Ephedrine-Induced Complete Atrioventricular Block with Ventricular Asystole during Rapid Concomitant Phenytoin Infusion: A Case Report
- Epiglottic Hematoma Secondary to Endotracheal Intubation
- 臺灣地區慢性脊髓損傷病患排尿處置之調查報告
- 小兒使用TPN引起的併發症
- 淺談糖尿病及其併發症
頁籤選單縮合
題 名 | Incidence and Management of Iatrogenic Colonoscopic Perforations=大腸鏡造成之醫源性大腸破裂的發生率及處理 |
---|---|
作 者 | 林怡成; 王瑞和; 金台明; 王心泰; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
卷 期 | 21:2 2010.06[民99.06] |
頁 次 | 頁53-58 |
分類號 | 416.245 |
關鍵詞 | 併發症; 大腸鏡; 醫源性大腸破裂; Colonoscopy; Perforation; Complication; Iatrogenic; |
語 文 | 英文(English) |
中文摘要 | 目的 雖然大腸鏡造成醫源性大腸破裂的機率不高,但有可能會引起嚴重的併發症,甚 至導致病人死亡。本篇研究在於討論本院大腸鏡造成大腸破裂的發生率及處理之相關經 驗。 方法 此篇是回朔性的研究文章。收集本院從1998 年1 月至2008 年12 月發生大腸鏡 造成大腸破裂的病人數共17 人;分析病人相關基本資料、造成大腸破裂的原因、處置 及預後。 結果 從1998 年1 月至2008 年12 月本院為13442 位患者執行大腸鏡檢查或治療。總 共有17 位病患發生大腸破裂,發生率為0.13%。9 位病人是給予保守性治療,包括禁食、 靜脈輸液給予及抗生素治療;其中1 位患者術後於住院期間因院內感染而導致死亡。破 裂位置最常見是在乙狀結腸。 結論 大腸鏡造成之醫源性大腸破裂是少見但相對嚴重的併發症,早期發現及治療對於 病人的預後相當重要。保守性治療適用於經過審慎篩選的病患。對於那些破洞比較大、 生命徵象相對不穩定或是已有廣泛性腹膜炎的病人,手術治療是比較合適的。 |
英文摘要 | Purpose. Although the incidence of iatrogenic colonoscopic perforation is low, it can result in severe complications and mortality. This study assessed the incidence and management of colonic perforations during an eleven year period at a medical center in southern Taiwan. Materials and Methods. We reviewed all the medical records of patients receiving colonoscopies from January 1998 to June 2008. We collected the patient’s demographic data, colonoscopic reports, and data regarding the location of perforations, their treatment and outcome. Results. During the 11-year period, out of a total of 13442 colonoscopies, 17 cases (0.13%) involved colonoscopic perforations (15 men, 2 women). Of the 17 perforations, 11 (65%) occurred in the sigmoid colon. Eight (47%) of perforations were treated surgically and nine (53%) medically with intestinal rest and intravenous antibiotics. In the medically treated group, one patient failed conservative treatment and required surgical intervention. That patient underwent repair with proximal diversion. In the group treated surgically, four patients received primary repair with proximal diversion, two received colonic diversion, one resection with anastomosis, and one resection with end colostomy. One patient died from nosocomial pneumonia. Conclusion. Iatrogenic colonoscopic perforation is a serious but rare complication. Its early recognition and treatment are essential.We found a perforation rate of 0.13%. Some patients with colonoscopic perforations may be safely treated nonoperatively, while others with large perforation or diffuse peritonitis may require surgery. |
本系統中英文摘要資訊取自各篇刊載內容。