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題 名 | 外傷性小腸穿孔--八例個案報告 |
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作 者 | 黃燦鋒; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 13:4 1980.12[民69.12] |
頁 次 | 頁331-336 |
關鍵詞 | 外傷性小腸穿孔; |
語 文 | 中文(Chinese) |
中文摘要 | 謹將八位外傷性小腸穿孔的個案,提出報告。其中六位腹部鈍挫傷所致,兩位因穿刺性外傷所致。多半合併有其他的受傷,包括了脊髓受傷,頭部外傷,胰臟撕裂,腸系膜破裂,骨折等。腹部鈍挫傷所致小腸穿孔者,早期的症狀、徵象,及X光發現,均無特異性,易致延誤,需靠經常的物理檢查與高度的警覺才能早期發現。致於治療則需投予大量抗生素,及適當的修補手術,包括了減壓、外引流、胃腸道的完整連續性,及術後的營養。 |
英文摘要 | Eight cases of traumatic small intestinal injury are presented. Six blunt injuries and two penetrating injuries were encountered. Most associated with other injuries, including spinal cord injury, head injury, pancreatic tearing, bony fractures, mesenteric injury. Following blunt injury, diagnostic delay was encountered mostly. Early recognition requires a high index of suspicion because preoperative signs and symptoms tend to be nonspecific and Xrays are usually not helpful. Suitable methods of surgical repair are numerous, but those for restoration of normal gastrointestinal tract continuity are preferred. Nutritional support is frequently indicated following duodenal injury. |
本系統中英文摘要資訊取自各篇刊載內容。