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頁籤選單縮合
題名 | Minor Head Trauma Related Acute Respiratory Distress Syndrome--A Case Report=頭部小挫傷相關之急性呼吸窘迫症候群--病例報告 |
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作者 | 何裕仁; 楊蓴; 夏德椿; | 書刊名 | 胸腔醫學 |
卷期 | 12:3 1997.09[民86.09] |
頁次 | 頁124-129 |
分類號 | 415.47 |
關鍵詞 | 急性呼吸窘迫症候群; 頭部小挫傷; Acute respiratory distress syndrome; Minor head trauma; |
語文 | 英文(English) |
中文摘要 | 急性呼吸窘迫症候群是一種急性肺損傷,臨床表現為呼吸衰竭且對高濃度氧氣治 療沒有明顯反應。我們報告一位84歲的病人,在一次跌倒後發生急性呼吸窘迫症候群。在 他跌倒後不久,右上眼眶出現一輕微的血腫。頭部挫傷七天之後產生的急性呼吸衰竭一直 是本次住院之主要問題。我們使用機械通氣及吐氣終端正壓治療後,病人最後症狀解除。 在回顧促成急性呼吸窘迫症候群的危險因子後,我們相信如此強烈地呼吸情況表現,可能 與他上眼眶的小挫傷最有關聯。 |
英文摘要 | The acute respiratory distress syndrome (ARDS) is an acute lung injury with clinical manifestation of respiratory failure resistant to high oxygen therapy. We present and 84-year-old male patient with ARDS after a minor head trauma. A small hematoma over the right supraorbital area was incurred after a fall. Late onset acute respiratory failure seven days after head trauma was the main problem during his hospital course. We used mechanical ventilatory support with additional PEEP which led to the patient being symptom free eventually. Reviewing the risk factors contributing to ARDS, we believe the drastic presentation of the respiratory condition in the case is most likely related to the minor cranial injury. |
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