Subconjunctival Hemorrhage: A Rare Complication of Emergency Endoscopy

眼結膜下出血：急診胃鏡檢查罕見併發症

邱俊文(Chun-Wen Chiu) ； 曹靖芳(Ching-Fang Tsao) ； 蕭富源(Fu-Yuan Siao) ； 顏旭亨(Hsu-Heng Yen)

《The Changhua Journal of Medicine》 14卷1期 (2016/03) Pp. 26-29

https://doi.org/10.6501/CJM.1401.004

摘要

上消化道出血是在一種常見的消化道急症。除了藥物治療之外，緊急胃鏡檢查能讓病患得到即時的診斷及治療。然而，內視鏡檢查之鎮靜麻醉通常不會在緊急情況出血時施行，以免造成吸入性肺炎等併發症。這裡我們報告一名59 歲的男性病人飲酒後嘔吐鮮血收治的急診治療的情況。儘管成功的緊急內鏡治療，患者再檢查後發現有眼結膜下出血。患者被留院觀察後出血情況恢復並無任何後續之併發症。這個案例報告強調一個事實，即眼結膜下出血是急診胃鏡檢查的一種罕見的併發症，尤其是當病人在檢查後眼部不適時，臨床醫師要更加注意。

關鍵字

併發症 ； 緊急內視鏡 ； 眼結膜下出血 ； 上消化道出血

並列摘要

Upper gastrointestinal (GI) bleeding is a common condition in the emergency department. Along with medical therapy, emergency endoscopy is usually performed to enable prompt diagnosis and treatment of such patients. However, because of the risk of aspiration, conscious sedation is not usually performed in emergency situations. Here, we report the case of a 59-year-old male patient admitted to our emergency department after vomiting fresh blood following alcohol consumption. Despite successful endoscopic therapy, the patient was found to have subconjunctival hemorrhage. The patient was admitted for observation and subsequently recovered without any complications. This case report highlights the fact that subconjunctival hemorrhage is a rare complication of emergency endoscopy, particularly when the patient complains of eye discomfort after the procedure.

並列關鍵字

compication ； endoscopy ； hemorrhage ； upper GI bleeding