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- Isolated Complete Transection of Common Bile Duct after Blunt Abdominal Trauma:A Case Report and Literature Review
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題名 | Isolated Complete Transection of Common Bile Duct after Blunt Abdominal Trauma:A Case Report and Literature Review=腹部鈍挫傷後總膽管單獨完全斷裂:一病例報告及文獻回顧 |
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作 者 | 李柏宏; 鄭國祥; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷期 | 8:1 1997.03[民86.03] |
頁次 | 頁18-24 |
分類號 | 416.247 |
關鍵詞 | 腹部鈍挫傷; 總膽管獨斷裂; Blunt abdominal trauma; Common bile duct transection; |
語文 | 英文(English) |
中文摘要 | 報告一例31歲男性病人,在腹部鈍挫傷後後造成總膽管單獨完全斷裂,腹部超音波及電腦斷層顯示腹內液體積聚,剖腹探查中發現總膽管斷裂,並成功地由初端對端縫合,T型管支撐及膽囊造口治療。延遲診斷是常見,但病人在腹部鈍挫傷後有膽汁性腹水、腹脹、黃膽時必須考慮到,本篇回顧文獻有關受傷的可能機轉、診斷及治療的方法。 |
英文摘要 | A case of an isolated complete transection of the common bile duct. due to blunt abdominal trauma,in a 31-year-old man is presented.Abdominal ultrasound and CT scan showed an intraabdominal fluid collection. Common bile duct (CBD) transection was found at laparotomy and was successfuly treated by primary end-to-end anstomosis with a T-tube stent and cholecystostomy. Delayed diagnosis is common,but this injury should always be considered when a patient has bile-stained ascites, abdominal distention and jaundice after blunt abdominal trauma. A review of the literature, possible mechanism of injury,and methods of diagnosis and treatment are described. |
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