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題名 | Gastric Emphysema Secondary to Pyloric Stenosis--A Case Report=由幽門狹窄引發之胃氣腫--病例報告 |
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作者 | 鄭敦仁; 李明哲; 陳華宗; 張耀仁; 黃英哲; Cheng, Tun-jen; Lee, Ming-che; Chen, Hwa-chung; Chang, Yao-jen; Huang, Ing-che; |
期刊 | 慈濟醫學 |
出版日期 | 20021000 |
卷期 | 14:5 2002.10[民91.10] |
頁次 | 頁333-335 |
分類號 | 416.243 |
語文 | eng |
關鍵詞 | 胃氣腫; 幽門狹窄; 胃切除術; Gastric emphysema; Pyloric stenosis; Gastrectomy; |
中文摘要 | 胃氣腫偶爾可在接受過胃鏡檢查或患有慢性肺氣腫病患身上發現,這些病患並不要進一步的治療。然而,胃出口阻塞也會造成胃氣腫,這時就需要外科手術處理。今報告一名由於幽門狹窄造成胃氣腫的病例,主要的症狀表現為腹脹及咖啡狀的嘔吐物。內視鏡顯示一極度擴張的胃以及胃黏膜瀰漫性出血,電腦斷層檢查發現在胃基部及體部有不正常的氣體聚集。我們成功地以全胃切除術治療這位病患,另外也一併討論氣腫性胃炎與胃氣腫之間的差異。 |
英文摘要 | Gastric emphysema is incidentally found in patients with a prior history of endoscopic examination or chronic or chronic lung disease. It usually needs no further treatment. However, gastric outlet obstruction can also induce gastric emphysema. Surgical intervention is necessary to relieve clinical symptoms. We reported a case of gastric emphysema due to pyloric stenosis. Abdominal distension and vomiting with coffee ground substance were the main symptoms. Panendoscopy demonstrated an elongated stomach with diffusely hemorrhagic necrosis on the gastric mucosa. Computed tomography (CT) was performed and disclosed abnormal intramural gas collection at the fundus and high body. This patient was treated successfully with gastric resection. The differentiation between gastric emphysema and emphysematous gastritis was also discussed. |
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