- 期刊
Left-Sided Hydropneumothorax Caused by Boerhaave Syndrome: A Case Report
Boerhaave's症候群引起之左側水氣胸：病例報告
摘要
Boerhaave's syndrome is one of the most lethal diseases of the gastrointestinal tract and needs early diagnosis and treatment. Symptoms may vary, including vomiting, chest or epigastric pain, subcutaneous emphysema and septic shock. Early diagnosis can be challenging, early management of surgical repair and debridement with antibiotic using was essential to reduce mortality. Herein, we report a 57-year-old mand had epigastric pain with left hydropneumothorax on a x-ray of standing abdomen. Computed Tomograpgy showed esophageal rupture, then he accepted thoracoscopic procedures and antibiotics treatments . He discharged smoothly from our ward 2 months later. We emphasize the importance of history taking and basic image reading.
並列摘要
Boerhaave症候群引起之自發性食道破裂是一種腸胃道急症，需要早期診斷與治療。症狀包括胸痛、上腹痛、嘔吐、皮下氣腫、敗血性休克等，早期診斷並不容易。治療的關鍵是緊急手術清創與修補合併抗生素治療。我們報告的這個案例，是一個罕見的自發性食道破裂個案，57歲男性以以上腹痛表現並在腹部X光片上看到左側氣血胸，電腦斷層診斷為食道破裂，在接受胸腔鏡手術以及抗生素療程後順利康復出院。本篇並強調病史詢問和基礎X光判讀的重要性。
延伸閱讀
- Lin, P. C., Chang, C. J., Wang, C. L., & Kuo, C. T. (2005). 可逆性左心室功能不良合併頂部氣球狀突起－一壺腹狀心肌病變病例報告. Acta Cardiologica Sinica, 21(4), 239-243. https://www.airitilibrary.com/Article/Detail?DocID=10116842-200512-21-4-239-243-a
- Chang, H. C., CHerng, Y. G., Lee, T. S., Lin, C. J., Tai, Y. T., Chen, T. G., & Chen, T. L. (1999). HELLP症候群合併産前肺水腫－病例報告. Acta Anaesthesiologica Sinica, 37(1), 41-44. https://doi.org/10.6955/AAS.199903.0041
- Hui, C., Chan, M. C., Wu, C. L., Tzeng, J. C., Chang, C. W., & Chian, C. D. (2003). Chlamydia pneumoniae感染所引起之急性呼吸窘迫症候群：病例報告及文獻回顧. 胸腔醫學, 18(5), 442-448. https://doi.org/10.29806/TM.200310.0009
- 鄭尊義、楊博勝、陳啓明、曹美華（2001）。VIPoma／水狀腹瀉症候群：一病例報告。中華民國消化系醫學雜誌，18(2)，139-144。https://doi.org/10.6557/GJTb.200106_18(2).0005
- Chou, K. C., Wang, P. C., Chih, P. S., & Chen, C. H. (2010). 左側心臟衰竭以反覆性單側肺水腫表現：病例報告. Journal of Emergency Medicine, Taiwan, 12(3), 91-94. https://www.airitilibrary.com/Article/Detail?DocID=15623386-201009-201102120053-201102120053-91-94