摘要
燒燙傷後有可能造成腸胃道的併發症，但是以大腸潰瘍且破裂殊屬少見。本文報導平時即有高血壓、心室震顫及輕微老年痴呆之77歲女性，因臉部及雙下肢有百分之十六之二度及三度燒傷，燒傷後即送醫治療，其治療過程依一般燒傷治療原則處理。不幸的是在住院第13天發現橫膈膜下有游離空氣。經緊急剖腹探查，發現在乙狀結腸處有一壞死。由於燒燙傷患者併發乙狀結腸穿孔，在文獻上尚未有報導故提出病例分享，以提醒燒傷患者可能併發的腹部急症。
關鍵字
無資料並列摘要
Colonic necrosis and perforation in burn patients were extremely rare and of high mortality. The authors will report a 77-year-old female suffered from a flame burn with an area of 16% of the total body surface complicated with sigmoid colonic perforation. Her past medical records included hypertension, atrial fibrillation, and mild senile dementia. She was sent to a medical center where she received the standard therapeutic procedure for burn injury. Unfortunately, she was accidentally found free air under the diaphragm via chest plain film. There was necrotic tissue with perforation in the sigmoid colon under urgent exploratory laparotomy. The patient was rescued finally after a long term medical care. When referring to the English literature from Medline, there was no report of burned patient complicated with sigmoid colon perforation. Hence, the authors would share their experience in this case by warning the serious abdominal complication cause by burn injury.
延伸閱讀
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