查詢結果分析
來源資料
相關文獻
- 食道結核:罕見的上消化道出血原因--病例報告
- Sources and Outcome of Upper Gastrointestinal Bleeding in Patients With Portal Hypertension Manifested by Esophageal Varices
- 上消化道出血之處理
- 小兒上消化道出血之泛內視鏡所見
- Endoscopy for Upper Gastrointestinal Bleeding at Emergency Unit
- 主動脈腸道瘻管--臨床罕見之上消化道出血:二病例報告
- 使用腸衣錠或鹼性緩衝劑型的阿斯匹靈對引發上消化道出血的危險性
- Upper Gastrointestinal Endoscopy in Children with Upper Gastrointestinal Bleeding
- 非靜脈曲張性上消化道出血的處置
- Secondary Aortoduodenal Fistula
頁籤選單縮合
題 名 | 食道結核:罕見的上消化道出血原因--病例報告=Esophageal Tuberculosis: An Unusual Cause of UGI Bleeding--A Case Report |
---|---|
作 者 | 范泉山; 孫茂勝; 林國川; 林同森; 葉坤土; | 書刊名 | 內科學誌 |
卷 期 | 10:1 1999.02[民88.02] |
頁 次 | 頁27-30 |
分類號 | 415.2773 |
關鍵詞 | 食道結核; 上消化道出血; 乾酪樣肉芽腫; Esophageal tuberculosis; Upper gastrointestinal bleeding; Caseating granuloma; |
語 文 | 中文(Chinese) |
中文摘要 | 結核菌感染在臺灣非但未曾絕跡,更有死灰復燃之勢。但其發生於食道且因而併 發上消化道出血者,實屬難得一見。本文謹提出敝院首例之食道結核病例報告,祈與諸賢達 共享並以為警惕:一位 45 歲婦人口吐大量鮮血而來院求診,經兩次上消化道內視鏡檢查, 終於發現一道深長裂口位於食道上、中部交界處,唯恐其破裂及再度大出血,迅即轉與外科 手術治療。可惜,因當初未警覺本病之可能而有術後棘手的再出血發生。其後經食道切除, 方才發現乾酪樣肉芽腫 (caseating granuloma)。經食道重整術及抗結核之藥物治療後,始 得病癒。本文藉此,就文獻之回顧及本病例之事後檢討,探討本病何以罕見,其臨床表現及 治療方式有何特別,以文本病例處理方式上有何缺失與如何改進。 缺失與如何改進。 |
英文摘要 | TB infection is not uncommon in Taiwan, but it is quite rare for TB to involve the esophagus and cause UGI bleeding. We report the first case of esophageal TB in our hospital: a 45-y/o woman who visited our hospital for massive hematemesis. After the second panendoscopy, we found a long and deep laceration wound over the border of upper and middle third of esophagus. She was then transferred to chest surgery and simple repair was performed. Massive Hematemesis recurred after the operation. Surgical intervention was performed again with esophagectomy. Pathologic study of the resected specimen revealed caseating granulomatous inflammation eventually. After anti-TB chemotherapy and esophageal reconstruction, patient remained well. After reviewing related articles and the clinical course of this case, we discussed the reason for the rarity of esophageal TB, the clinical manifestation and treatment of esophageal TB, and what was missed in the management of this case. |
本系統中英文摘要資訊取自各篇刊載內容。