- 期刊
A Case of Massive Spontaneous Omental Bleeding
大網膜自發性大量出血：個案報告
摘要
We reported a rare but deadly case of massive spontaneous omental bleeding. This 40 year-old male who did not have any specific past medical history and any known cardiovascular risk factors, presented with decompensated hemorrhagic shock and respiratory failure. After resuscitation, he was successfully managed with emergent laparotomy and partial omentectomy. Pathology revealed focal septic emboli in multiple ruptured omental arteries associated with acute and chronic inflammation. Patients with stable vital signs should receive confirmatory CT scan followed by transarterial embolization if available, whereas patients with unstable vital signs should undergo immediate exploratory laparotomy.
延伸閱讀
- Chang, W. H., Lee, C. T., Hsu, K. H., Cheng, J. P., & Cheng, C. Y. (2007). 自發性小網膜出血：病例報告. Journal of Emergency Medicine, Taiwan, 9(1), 27-30. https://www.airitilibrary.com/Article/Detail?DocID=15623386-200703-9-1-27-30-a
- Shui, J., Huang, Y. C., & Shi, C. M. (2008). 大網膜自發性出血：一病例報導. Journal of Emergency Medicine, Taiwan, 10(3), 96-99. https://www.airitilibrary.com/Article/Detail?DocID=15623386-200809-10-3-96-99-a
- 陳文淵、劉享源、郭興成、文良彥（1989）。自發遂由性脈絡膜出血－兩例報告。中華民國眼科醫學會雜誌，28(2)，644-648。https://doi.org/10.30048/ACTASOS.198905.0118
- 鄭宏熙、王國新、盧立華、劉洪彰、陳長志、張國頌（2003）。氣管頸動脈間癭管伴隨大量出血：病例報告。中華民國急救加護醫學會雜誌，14(3)，121-125。https://doi.org/10.30018/JECCM.200309.0005
- 陳敏夫、王德錦、周逢復（1976）。非穿透性腹部外傷引起之後腹膜腔血腫。當代醫學，(37)，1058-1059。https://doi.org/10.29941/MT.197611.0014