查詢結果分析
相關文獻
- Intrahepatic Gas: Clinical Features and Diagnostic Challenge
- Hepatic Portal Venous Gas in Superior Mesenteric Vein Thrombosis: Report of a Case
- 肝門靜脈氣體--存活病例報告
- Sonographic Detection of Hepatic Portal Venous Gas Originating from Ischemic Bowel Disease: A Case Report and Literature Review
- Ruptured Liver Abscess: A Rare Cause of Pneumoperitoneum
- Gastrointestinal Stromal Tumor of the Stomach Mimicking Perigastric Abscess with Hepatic Portal Venous Gas: A Case Report
- 自發性消散的肝門腸繫膜靜脈氣體--病例報告
頁籤選單縮合
題名 | Intrahepatic Gas: Clinical Features and Diagnostic Challenge=肝內游離氣體:臨床特徵與診斷挑戰 |
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作者姓名(中文) | 王堯顯; 王明龍; | 書刊名 | 中華民國重症醫學雜誌 |
卷期 | 12:4 2011.12[民100.12] |
頁次 | 頁193-199 |
分類號 | 415.53 |
關鍵詞 | 肝內游離氣體; 肝門靜脈氣體; 膽道氣體; 產氣性肝膿瘍; Intrahepatic air; Portal venous gas; Pneumobilia; Gas-forming liver abscesses; |
語文 | 英文(English) |
中文摘要 | 透過不同的臨床狀態,強調肝內游離氣體的表現是一種不容易被發現且威脅生命的疾病。在這篇文章中,我們提出三個案例,分別為肝門靜脈氣體、膽道氣體、產氣性肝膿瘍。 肝門靜脈氣體:是指有少許空氣在肝的周圍尤其是靠近左葉。這大部分起因於腸系膜缺血,往往容易引發高達 75%的死亡率。因此,這個治療必需緊急剖腹探查且切除可能受影響腸系膜。 膽道氣體:典型可看到許多空氣聚集在肝中心的範圍,且多發現於病人接受膽道檢查或手術後。故可透過病因及臨床特徵,來判定是否須動手術。 產氣性肝膿瘍:通常好發在糖尿病伴隨敗血症的病患中。所以,緊急膿瘍引流、抗生素控制,並結合良好血糖控制,是病人有良好預後的必要步驟。 電腦斷層掃描發現的肝內游離氣體,是必須小心地評估並確定臨床特徵,進一步透過不同的診斷給予適當治療。 |
英文摘要 | Intrahepatic air is a potentially ominous discovery and life-threatening disease is emphasized by variable clinical condition. In this article, we present three cases of portal venous gas, pneumobilia, gas-forming liver abscess. Portal venous gas manifests as small air densities in the periphery of the liver located predominantly in the left lobe. This entity is most commonly caused by mesenteric ischemia and carries high mortality rate up to 75%. Treatment entails emergent laparotomy with possible resection of the affected segment of bowel. Pneumobilia is typically visualized as a large confluence of air located within the central portion of the liver and is most commonly seen in patients following procedures involving the biliary tract. Management may be either surgical or non-operative, depending on the etiology and clinical presentation. Gas-forming liver abscesses are common among diabetic patients with sepsis condition. Emergent pigtail drainage and adequate antibiotic management combined with good control of blood sugar is the key step for good prognosis for such patients. CT findings of intrahepatic air should be carefully evaluated to determine the clinical condition and further differential diagnosis with appropriate management. |
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