查詢結果分析
相關文獻
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頁籤選單縮合
題 名 | Dilemma in Managing Spontaneous Pneumoperitoneum: A Case Report=自發性氣腹的治療挑戰一病例報告 |
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作 者 | 王宗德; 袁九重; 李文齡; 賴瓊如; 顏明賢; 王鵬惠; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 16:7 2000.07[民89.07] |
頁 次 | 頁375-379 |
分類號 | 416.242 |
關鍵詞 | 自發性氣腹; 保守療法; 剖腹棎查; Conservative treatment; Exploratory laparotomy; Spontaneous pneumoperitoneum; |
語 文 | 英文(English) |
中文摘要 | 既然氣腹是一個非常緊急的外科急診,往往需要緊急的剖腹探查來挽 救病人的生命。然而有特別的狀況,如氣腹但無腹膜炎的跡象,此時保守的支持 療法可能是較佳的選擇方式。在此我們報告一位58歲罹患復發性子宮頸癌且伴 有菌血症婦女的氣腹臨床表徵。病人死亡後的解剖報告顯示此病人腹壁及後腹腔 有腫瘤復發但腹腔內胃腸道等等器官均完好,並無破洞及腹膜腔發炎的跡象。我 們結論認為無症狀的氣腹應接受嚴謹的保守觀察及治療,而不必要的剖腹探查應 可避免。 |
英文摘要 | Pneumoperitoneum is often associated with an underlying severe life-threatening emergency. This emergency is always treated successfully by a surgical approach. When a patient situated in hopeless situation but is found with spontaneous pneumoperitoneum, it creates a dilemma. We deal with such a rare situation which occurred in a 58-year-old woman with recurrent cervical carcinoma. The patient received a radical hysterectomy, pelvic lymph node dissection and bilateral salpingo-oophorectomy 10 years ago. Recurrent retroperitoneal lymphadenopathy and inguinal lymphadenopathy were suspected by computed tomography and proven by excision biopsy of inguinal lymph node. She received a complete course of concurrent chemoradiation therapy;however, clinically persistent disease was suspected although it was very difficult to prove. Unfortunately, th case was complicated by severe radiation fibrosis over the whole abdominal wall, poor appetite and urinary tract infection. She was treated with supportive care treatment. Nevertheless, the patient was attacked by spontaneous pneumoperitonemu during hospitalization and died later and autopsy of the patient showed military carcinomatosis of the abdominal cavity and lower absominal wall without any evidence of internal hollow organ perforation and intraabdominal infection. The cause of death might be related to her carcinomatosis with severe chacexia. Because pneumoperitoneum is always considered as a surgical emergency, we receive the possible causes of non-surgical pneumoperitoneum to avoid an unnecessary surgical approach. |
本系統中英文摘要資訊取自各篇刊載內容。