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  • 期刊

Blunt Diaphragmatic Rupture: A Case Report and Review of the Literature

創傷性橫膈膜破裂:容易誤診的傷害

摘要


本病例是一名19歲男性,某日騎機車打滑而摔車。送至急診室,生命徵象惡化,X光及電腦斷層顯示左側橫膈膜破裂併胃和脾臟疝氣,於是緊急行橫膈修補術。本文旨在表現橫膈破裂之理學及影像學特徵,藉以提醒急診醫師此一需緊急手術之病症。

關鍵字

橫膈膜破裂 疝氣 外傷

並列摘要


We present a 19-year-old male motorcyclist slipped and bumped his back against the asphalt. He was presented to our emergency department with dramatically deteriorated vital signs. Chest x-ray and computed tomography (CT) showed left diaphragmatic rupture with intrathoracic herniation of stomach and spleen. Exploratory laparotomy was performed. Our article aims to remind the physical and radiological findings of the diaphragmatic rupture to emergency physicians.

並列關鍵字

diaphragmatic rupture heniation trauma

延伸閱讀


  • Tan, R., Chen, C. S., Chiang, H. J., Shi, T. C., Lim, P., Shann, T. Y., & Tung, R. C. (1993). 急性外傷性橫膈膜破裂. 中華放射線醫學雜誌, 18(3), 221-228. https://www.airitilibrary.com/Article/Detail?DocID=10188940-199309-18-3-221-228-a
  • Huang, Y. M., Kao, C. C., & Liu, K. Y. (2005). 創傷性橫膈破裂合併張力性胃胸:病例報告. Formosan Journal of Surgery, 38(1), 34-38. https://doi.org/10.29833/FJS.200502.0007
  • Chou, D. W., & Jao, Y. T. F. N. (2013). 橫膈膜裂孔疝氣. 中華民國急救加護醫學會雜誌, 24(1), 35-36. https://www.airitilibrary.com/Article/Detail?DocID=10232214-201303-201307010015-201307010015-35-36
  • Cheng, K. C., Kao, C. C., Lu, J. S., & Liu, K. Y. (2006). 鈍傷引起腹主動脈破裂:病例報告. Formosan Journal of Surgery, 39(5), 270-273. https://doi.org/10.29833/FJS.200610.0008
  • Chen, P. C., Lee, C. C., & Yang, J. M. (2010). 成人的非傷創性橫隔膜疝氣. 台灣急診專科醫師期刊, 2(4), 132-137. https://doi.org/10.29749/JTCEP.201012.0004