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頁籤選單縮合
題 名 | Typhlitis in a Leukemia Patient: A Case Report=盲腸炎在血癌患者:病例報告 |
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作 者 | 阮祺文; 周志中; 伍福生; 林清澤; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷 期 | 10:2 1999.06[民88.06] |
頁 次 | 頁83-88 |
分類號 | 415.562 |
關鍵詞 | 盲腸炎; 闌尾炎; 血癌; Typhitis; Appendicitis; Leukemia; |
語 文 | 英文(English) |
中文摘要 | 急性腹痛對急診室醫生來說是一大挑戰,本病例報告一們罹患者血癌患者在接受化療期間三度發生右下腹痛。第一次在急診診斷?性闌尾炎即接受闌尾切除術,但病人在第二、三次住院化療期間又發生右下腹痛才經由腹電腦斷層診斷?盲腸炎(typhlitis),盲腸炎的初步憶斷差不多完全來自臨床徵狀,當患者中性白血球過低,曾使用過抗癌藥物,合併有右下腹疼痛、發燒、腹瀉或血便,就應攷慮此症,而靠放射線檢查加以證實,提出本病例希望提醒急診工作同仁對免疫機能不全合併右下腹痛患者作出更詳細及精確的鰹別診斷。 |
英文摘要 | Acute abdominal pain is the biggest challenge for doctors in an emergency department (ED). A leukemia patient who had had three courses of chemotherapy visited our ED with right lower quadrant (RLQ) abdominal pain. We diagnosed his condition as acute appendicitis and an appendectomy was performed. Unfortunately, the abdominal pain recurred, so the patient underwent abdominal computed tomography. We concluded this was a case of typhlitis. An initial diagnosis of appendicitis is normally based on clinical features. When a patient who has been receiving chemotherapy presents with neutropenia together with RLQ abdominal pain, fever, diarrhea, or hematochezia, one should consider this diagnosis and confirm the diagnosis with a radiological investigation. Physicians are reminded that when an emergent condition with acute RLQ abdominal pain occurs in immune compromised patients, the possibility of typhlitis should be included in the differential diagnosis. |
本系統中英文摘要資訊取自各篇刊載內容。