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題 名 | Traumatic Intramural Duodenal Hematoma--A Case Report=損傷性十二指腸壁內血腫--病例報告 |
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作 者 | 柯文清; 鄭國祥; 林敋彬; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 32:6 民88.11-12 |
頁 次 | 頁266-269 |
分類號 | 416.243 |
關鍵詞 | 十二指腸壁內血腫; Blunt abdominal injury; Traumatic duodenal hematoma; Upper gastrointestinal series; Cholecystostomy; |
語 文 | 英文(English) |
中文摘要 | 十二指腸壁內血腫是一個罕見的疾病,其中又以損傷性為最常見的原因,大部份的病人都可以保守性療法治癒,在此我們報告一例損傷性十二指腸壁內血腫的病人,在經過21天保守性療法之後,腹痛、嘔吐及黃疸的症狀並沒有改善,而且血中直接型和總膽紅素上升至5.7/12.1mg/dL而接受手術清除血塊及膽囊造口術,術後病人直接型和總膽紅素明顯下降,黃膽逐漸消失,胃腸道阻塞的症狀改善,而且進食順利。病人在住院第42天順利出院。 |
英文摘要 | Intramural duodenal hematoma is rare. The most common cause is blunt abdominal injury. Most cases can be cured with conservative treatment. We describe a case of traumatic intramural duodenal hematoma. After 21 days of conservative treatment, the patient still presented with abdominal pain, vomiting, and jaundice and his direct and total (D/T) serum bilirubin level elevated to 5.7/12.1 mg/dL. Upper gastrointestinal(UGI) series revealed complete obstruction at the first portion of the duodenum. Therefore, surgical removal of the hematoma and a cholecystostomy were performed. After surgery, the D/T serum bilirubin level decreased markedly, jaundice subsided, and gastrointestinal tract obstruction improved. The patient tolerated food intake well and was discharged on the 42nd hospital day without specific complaints. |
本系統中英文摘要資訊取自各篇刊載內容。