Spontaneous Omental Hemorrhage: A Case Report

大網膜自發性出血：一病例報導

徐瓊書(Juan Shui) ； 黃英傑(Ying C. Huang) ； 史兆明(Chau-Min Shi)

《Journal of Emergency Medicine, Taiwan》 10卷3期 (2008/09) Pp. 96-99

摘要

自發性腹腔內出血並不常見。此症可因肝、脾、婦科、血管、血液、發炎、凝血異常等疾病、甚至自發性所造成。至於無以上危險因子網膜還是自發性出血者，雖然非常罕見，但常會致命。因此對於突發瀰漫性腹痛的患者、特別是併有腹膜炎跡象，必須提高警覺。如疑有腹內出血，進一步的影像學檢查是有所助益的。盡早診斷、積極急救，加上外科、影像醫學科醫師的根本性治療，是自發性網膜出血患者救命的唯一途徑。

關鍵字

腹膜腔內出血 ； 大網膜

並列摘要

Spontaneous hemoperitoneum is uncommon. The etiology of spontaneous hemoperitoneum may be grouped into hepatic, splenic, gynecological, vascular, coagulopathic and cryptogenic. Spontaneous omental hemorrhage without vasculopathy is extremely rare but is often a fatal event. We need to pay attention to patients presenting with a sudden onset of diffuse abdominal pain and signs of peritonitis. If intraperitoneal hemorrhage is suspected, further imaging studies are usually helpful. Early diagnosis, aggressive resuscitation and definitive treatment by the radiologist or surgeon are the only way to save the life of the patient suffering from a spontaneous omental hemorrhage.

並列關鍵字

hemoperitonium ； omentum