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相關文獻
- A Rare Cause of Massive Upper Gastrointestinal Hemorrhage--True Aneurysm of the Left Gastric Artery--Case Report and Review of the Literature
- Case Report Dieulafoy's Lesion--A Case Report and Review of Literature
- 上胃腸道出血
- Assessment of Gastric Intramural PH and Risk Factors in Critically Ill Patients with Upper Gastrointestinal Bleeding
- 經內視鏡對上胃腸道出血疾患之療效
- 上胃腸道出血
頁籤選單縮合
| 題 名 | A Rare Cause of Massive Upper Gastrointestinal Hemorrhage--True Aneurysm of the Left Gastric Artery--Case Report and Review of the Literature=左胃動脈瘤併上胃腸道出血--一病例報告 |
|---|---|
| 作 者 | 許競文; 溫義輝; 張宗泓; 張一方; | 書刊名 | 中華民國外科醫學會雜誌 |
| 卷 期 | 30:4 民86.07-08 |
| 頁 次 | 頁284-287 |
| 分類號 | 416.243 |
| 關鍵詞 | 左胃動脈瘤; 上胃腸道出血; Splanchnic artery aneurysm; Stomach; |
| 語 文 | 英文(English) |
| 中文摘要 | A 78-year-old woman presented with repeated hematemses and melena.The Emergency panendoscopy revealed a visible submucosal vessel with active bleeding over the low body, lesser curvature side of the stomach.Emergency laparotomy was performed after transfusion with 2500 ml of whole blood in 24 hours, revealing a vascular lesion with aneurysmal dilatation originating from the left gastric artery over the lesser curvature side of the stomach.The active bleeder without gastric ulcer was identified on anterior exploratory gastrotomy.The bleeding was stopped after meticulous division and excision of the aneurysm.The patient made an uneventful recovery and had no recurrence druing a 5-year follow-up period. Prompt surgical intervention resulted in correct diagnosis and our patient's survival.Physicians should be more aware of the possibility of splanchnic artery aneourysms with bleeding in any patient with unexplained blood loss. |
| 英文摘要 | 一位七十八歲老婦人因反覆吐血及解黑便而入院,胃鏡檢查發現在胃體部小彎處 有一血管正在流血,二十四小時內輸血兩千五百公撮後仍然多次吐血及解黑便,因此接受了 剖腹手術,術中發現胃小彎處有一源於左胃動脈之動脈瘤。經小心剝離和切除動脈瘤後,胃 出血就停了。病人於術後十日順利康復出院,經追蹤五年後未復發上胃腸道出血。立即手術 治療而得到了正確診斷及成功的治癒此病人,但我們對於不明原因大量血者更應警覺到臟器 血管動脈瘤出血的可能性。 |
本系統中英文摘要資訊取自各篇刊載內容。