查詢結果分析
來源資料
相關文獻
- Nonoperative and Operative Management of Blunt Liver Trauma in Adults
- 脾臟鈍挫傷之非手術治療
- 非手術治療胰頭癌引致黃疸症的技巧
- The Role of Diagnostic Algorithms in the Management of Blunt Splenic Injury
- 頭部外傷急診室的處理及非手術治療
- 顳顎關節障礙症之非手術治療--化學性及物理性治療
- 骨盆器官脫垂的手術治療與非手術治療
- Nonoperative Management of Blunt Spleen Injury in Adult Patients with Multiple Trauma
- 脾臟外傷非手術治療的新趨勢
- 雷射在非手術牙周治療的發展
頁籤選單縮合
題 名 | Nonoperative and Operative Management of Blunt Liver Trauma in Adults=成人肝臟鈍挫傷之非手術與手術治療 |
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作 者 | 趙子傑; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 24:3 民80.05-06 |
頁 次 | 頁657-663 |
分類號 | 416.246 |
關鍵詞 | 肝臟鈍挫傷; 非手術治療; 手術治療; |
語 文 | 英文(English) |
中文摘要 | 雖然肝臟鈍挫傷一向以手術治療,然而一半以上的肝臟鈍挫傷其程度並不嚴重,在手術時通常發現這些較輕微的病例已停止出血或可用壓迫法止血。非手術性療法已被廣泛地應用於小兒肝臟鈍挫傷的治療。然而,文獻上報告的成人病例仍然有限。為了更深入瞭解此療法及肝臟鈍挫傷之自然病史,我們提出此報告。本文包括112例成人肝臟鈍挫傷,其中13例接受非手術性治療法。13例中,2例因發燒及有腹膜炎現象以致於中斷非手術性療法而接受剖腹探查。餘11例中,除了4例併有發燒及1例因慢性胃部潰瘍加重而出血外,沒有其他併發症,平均住院日數為11.8天,平均追蹤期間為17.5個月。我們認為非手術性療法可以選擇性地應用於部分肝臟鈍挫傷病例。 |
英文摘要 | In a period of 5 years and 5 months, 99 of 112 patients with blunt liver trauma were treated by operative methods and 13 patients were managed nonoperatively. Exploratory laparotomy was performed in 2 of the nonoperative patients since peritonitis and fever developed 22 and 48 hours respectively after nonoperative management. Of the remaining 11 patients who continued nonoperative management, 4 were complicated with fever and 1 with bleeding from exaggerated chronic gastric ulcers. SGOT level in the nonoperative patients was significantly (p< 0.05) lower than that in the operative group. The average duration of hospitalization in the nonoperative group was 11.8 days, which was significantly (p< 0.05) shorter than an average of 26.9 days in the operative group. There were no delayed comlications noted during an average follow-up of 17.5 months. Nonoperative treatment can be performed in selected patients with blunt liver trauma. |
本系統中英文摘要資訊取自各篇刊載內容。