查詢結果分析
相關文獻
- 急性腹痛:腸系膜血管缺血性病變三例病例報告暨文獻回顧
- Successful Delayed Thrombolytic Therapy in a Patient with Massive Pulmonary Embolism
- 靜脈血栓性栓塞的預防及治療概念
- Postoperative Right Atrial and Pulmonary Embolism after Prolonged Spinal Surgery
- 血栓素抑制劑在心肌栓塞治療的展望
- Aortic Dissection with Acute Neurologic Manifestations: Three Case Reports
- 急性腦中風的神經放射學檢查與介入性治療
- 荷爾蒙補充療法之安全性
- Centrally-located Sclerosing Hepatocellular Carcinoma: A Case Report with Imaging Findings before and after Transcatheter Arterial Chemoembolization
- 左腎梗塞病患合併有非瓣膜性之心房纖維性顫動,開放性卵圓孔與自發性聲波對比
頁籤選單縮合
題 名 | 急性腹痛:腸系膜血管缺血性病變三例病例報告暨文獻回顧=Mesenteric Ischemic Enteropathy Presenting as Acute Abdomen:3 Cases Report and Literature Review |
---|---|
作 者 | 蔡民鋒; 林廷燦; 張銘遠; 劉柏屏; 高常發; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷 期 | 8:2 1997.06[民86.06] |
頁 次 | 頁76-84 |
分類號 | 415.501 |
關鍵詞 | 腸系膜血管缺血或梗塞; 主動脈剝離; 栓塞; 血栓; 腸絞痛; 上腸系膜靜脈; 電腦斷層攝影; Mesenteric ischemia or infarction; Aortic dissection; Thrombosis; Embolism; Abdominal angina; Superior mesenteric vein; SMV; |
語 文 | 中文(Chinese) |
中文摘要 | 腹部主動脈剝離和腸系膜血管栓塞,是主要的急性血管性腹痛。前者常有顯著的 症狀或徵象,然而腸系膜血管栓塞引起的腸缺血或梗塞,雖不常見,但卻是致命性的。 因此急性腹痛的鑑別診斷中,是很重要的一環。由於經常缺乏可靠的理學檢查之身體徵象,以及模糊的症狀,不夠清楚的病史,早期診斷對急診醫師是大挑戰。因此,我們報告三例有興趣的個案,包括他們的臨床表現以及電腦斷層的發現。根據上腸系靜脈栓塞,引起急性腹痛的性質以及輕重緩急,給予積極而且正確的治療。第二及第三例病人,以急性腹痛和腸系靜脈及腸壁內氣體來表現。很不幸地,由於這二位病人的臨床身體狀況,過於重度危厄無法接受進一步的外科手術治療。總之,高度的懷疑心,在診斷急性腹痛的病因是很重要的。延遲診斷及外科治療,將導致病人死亡。所以,根據我們有限的經驗:緊急作腹部X光,電腦斷層掃描,加上血管攝影檢查,對診斷這一危險的疾病,將有很大的幫忙。特別是在急診處服務時,假如缺乏關於缺血性腹部絞痛之警覺性,將會延後診斷,對預後將有很大的影響。是故,我們提出三個案例,報告以供參考。 |
英文摘要 | Abdominal aortic dissection and bowel infarction are the major vascular emergencies presenting as an acute abdomen. The former more often has obvious symptoms or signs Ischemic bowel or bowel infarction are uncommon but potentially lethal. They are an important part of the differential diagnosis of acute abdomen.Because of a lack of reliable physical signs, vague symtoms or poor histroy taking, and nonspecific laboratory results, early diagnosis poses a great challenge to emergency physicians. we present 3 interesting cases. Clinical presentations including CT findings will be illustrated. Given the severity and nature of the acute abdomen due to superior mesenteric vein (SMV) thrombosis. We were able to give aggressive and proper management. The second and third cases presented with an acute abdomen and gas in the intramural vein. The general physical condition of these two cases was so critical that they did not receive surgical intervention. A high index of suspicion is very important for detecting the underlying etiology in patients with an acute abdomen. Delay in diagnosis or surgical intervention may doom the patient to death. Based on our limited experience, emergent abdominal x-ray, CT scan, together with angiography can help to resolve this critical issue. |
本系統中英文摘要資訊取自各篇刊載內容。