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Gallbladder and Transverse Colon Perforation in a Patient with Electrical Burns: A Case Report

電擊傷病患的膽囊和橫結腸穿孔:病例報告

摘要


一名30歲的男性意外觸電受傷,送至急診室時被診斷雙手,前臂和右胸壁4度燒傷。在燒傷加護病房治療,於第10住院日時腹部疼痛,於胸部X光發現橫膈下有異常氣體聚集。經剖腹探查,膽囊及橫結腸穿孔,穿孔處予以修補手術後,經100天的住院治療後出院,無其他腹部併發症。

並列摘要


A 30-year-old male was accidentally injured by electric shock while cutting high-voltage electrical wires near his home. After an unknown amount of time, he was found lying unconscious near a wire pole, and both of his hands were burned. He was taken by an EMT ambulance to the hospital, during which he was in a conscious state. At the emergency room, he received first aid and was diagnosed with fourth-degree burn wounds on both hands, forearms, and the right chest wall covering approximately 15% of the total body surface area. At the burn intensive care unit, he complained of abdominal pain on the tenth hospital day. A chest radiograph revealed the presence of free air. An exploratory laparotomy subsequently revealed gall bladder and transverse colon perforation, which were repaired with a simple closure. The patient recovered and was discharged after 100 days without any other abdominal complications.

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