- 期刊
The Management of Lower Gastrointestinal Bleeding in a Patient with Major Burns
重大燒傷病患合併下腸胃道出血之處置
摘要
這追蹤報告描述重大燒傷病患由於橫結腸出血造成持續便血的罕見併發症，一位三十八歲男性病患在遭受九十五%燒傷兩個月後突然大量下腸胃道出血，緊急的大腸鏡檢查未能確定活動性出血的部位，我們使用紅血球-鎝(99)當作檢驗劑去確定出血點，在保守療法失敗後，大腸直腸外科做了左側半大腸切除以及哈特曼手術來控制大量出血所造成的低血容性休克，病患在手術後第七天開始接受腸道餵食。
關鍵字
無資料並列摘要
The following report describes a rare complication with continuous hematochezia in a major burn patient due to transverse colon bleeding. The case of a 38 year-old male patient who developed sudden massive lower gastrointestinal bleeding two months after suffering 95% body surface area flame burns is presented. Emergent colonoscopy failed to localize the active bleeding sites. The RBC-technetium 99 was used as a detecting agent for definite identification of the bleeding points. Following unsuccessful conservative treatment, the operation of left hemicolectomy and the Hartmann's procedure was done. The hypovolemic shock due to massive bleeding was completely corrected. The patient resumed enteral feeding seven days after the surgical procedure.
延伸閱讀
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