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題名 | 子宮蓄膿併發穿孔引起氣腹:病例報告=Pneumoperitoneum Caused by Perforation of a Pyometra:A Case Report |
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作者 | 王俊順; 王賡堯; 謝從閭; 程惠民; | 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89-92 |
分類號 | 417.3 |
關鍵詞 | 子宮蓄膿; 子宮穿孔; 氣腹; Pyometra; Perforation; Pneumoperitoneum; |
語文 | 中文(Chinese) |
中文摘要 | 八十一歲女性糖尿病患者,因發燒,小便疼痛,腰痛,血糖偏高,於本院急診診斷為急性腎盂腎炎合併敗血症。住院第二天理學檢查發現廣泛性腹部壓痛及明顯反彈性疼痛,胸部X光檢查顯示有氣腹情形,在消化性潰瘍穿孔合併休克的臆斷下,施行緊急的剖腹探查,術中未見任何中空器官之破裂,卻發現腹腔、骨盆腔內積膿及子宮底部破裂情形,診斷為子宮蓄膿合併穿孔。老年婦人急性腹痛,婦科問題應列入鑑別診斷,以增加手術前正確的診斷。 |
英文摘要 | An 81-year-old female presented with symptoms of fever, dysuria, back pain, and hyperglycemia. After admission, she had an acute onset of diffuse abdominal pain with rebound tenderness. The CXR revealed pneumoperitoneum. Under the impression of a peptic ulcer perforation, an emergent exploratory laparotomy was performed. Instead a perforated pyometra was found. Although uterine disease is a rare cause of an acute abdomen and pneumoperitoneum in the elderly, a perforated pyometra should be considered in the differential diagnosis. |
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