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1
題名:Rectus Sheath Hematoma--Two Cases Report     (8點)
腹直肌血腫--兩病例報告
著者:Horn-Dah Kou(郭宏達) ;Ying C. Huang(黃英傑) ;Ying-Hao Chao(趙英豪) ;Danilo Liao(廖志思) ;Chi-Wen Tu(涂啟文)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:hematoma ; rectus abdominis sheath
刊名:Formosan journal of surgery
卷期:36卷6期(2003.12)
頁碼:297-300
語言:英語
摘要: 英文摘要PDF

Rectus sheath hematoma (RSH) is an uncommon but sometimes life-threatening ilIness. It can occur spontaneously, secondary to trauma, invasive procedure or coagulopathies. Treatments may be delayed due to unnecessary diagnostic procedures or unwanted surgery. Increased morbidity and even mortality may be the result. We described two cases of RSH. Patient 1: A 57 y/o woman presented with sudden onset of RLQ abdominal pain. Vital signs on arrival were respiration 16 breaths per minute, pulse 86 beats per minute, blood pressure 134/84 mmHg and temperature 37.0oC. Significant RLQ abdominal tenderness was found. Laboratory results were WBC 8,120/mmJ, Hb 13.1 g/dl, Hct 37%, platelet 203,000/mmJ, AST/ALT 46/59 IUIL, BUN/Cre 13.0/0.9 mgl品, and glucose 157 mgldl. Electrolytes and cardiac markers were unremarkable. Abdomen CT revealed extensive enlargement of the right rectus abdominis muscle with extravasation of contrast medium. Surgical operation was undertaken for intractable pain. Patient 2: A 61 y/o woman presented because she crushed her abdomen against the handlebar during a motor vehicle accident. Vital signs on arrival were respiration 20 breaths per minute, pulse 70 beats per minute, blood pressure 143/87 mmHg, and temperature 36.50 C. A soft mass was palpable on her right abdomen with ecchymosis. Laboratory results were WBC 11,130/mmJ, Hb 12.5 g1dl, Hct 36.4%, plat 195,000/mm3 ; PT 9.8"(9.8"), aPTT 26.8"(37.5"), AST/ALT 44/43 IUIL, BUN/Cre 12.4/0.8 mg/,品, glucose 156 mgldl, Na+/K+ 133/3.66 mEqlL and unremarkable cardiac markers. Abdomen CT revealed a soft-tissue density infiltration over the right anterior abdominal wall with extravasation of contrast medium. She was admitted to the surgical ward and an operation was undertaken on the following day because of progressive hemorrhage. They had uneventful recoveries after surgical operations. Although uncommon, both the emergency physician and the surgeon should be familiar with this disease because the incidence will increase, as elderly patients, anticoagulation therapy and invasive procedures become more commonplace.


    

本卷期目次
Formosan journal of surgery 36卷6期 (2003.12)
Cerebral Perfusion Pressure Guided Management in Severe Head Injury--Analysis of 24 Cases/ Jinn-Rung KuoChe-Chuan WangChung-Ching Chio
Plasmapheresis for Acute Humoral Rejection in Heart Transplant Patients/ Shao-jung LiNai-Kuan ChouYih-Sharng ChenWen-Je KoShu-Hsun ChuShoei-Shan Wang
Hand-Assisted Laparoscopic Live Donor Nephrectomy Versus the Conventional Open Approach/ Chuan-Shu ChenChung-Kuang SuKun-Yuan ChiuYen-Chuan OuHao-Chung HoChen-Li ChengWen-Ming ChenChi-Rei Yang
RUNX3 Hypermethylation in Remnant Gastric Cancer--A Preliminary Report/ CHIH-MING OU YANGYenn-Hwei ChouChung-Wei LeeChin-Cheng Lee
Titanium Posterior Lateral Mass Plating in the Treatment of An Unstable Infected Cervical Spine--Case Report/ Shiu-Jau ChenMing-Hong ChenChien-Tsai Chiu
Symptomatic Anterior Cervical Arachnoid Cyst Development after Excision of A Posterior Thoracic Arachnoid Cyst/ Kwo-Chi HuCheng-Kuei ChangCheng-Chia TsaiSi-Huei LeeDaniel T H Chin
Vertebral Metastatic Meningioma--A Case Report/ Sheng-Yu ChengFu-Chao HuangCheng-Kuei ChangLieh-Sheng Lin
Rectus Sheath Hematoma--Two Cases Report/ Horn-Dah KouYing C. HuangYing-Hao ChaoDanilo LiaoChi-Wen Tu
Intrahepatic Splenosis--Report of A Case/ Ching-Ming KwokWing-Yiu LuiKuang-Liang KingChe-Chuan LoongGar-Yang ChauWei-Kang KwangCheng-Yuan HsiaChew-Wun Wu
 
   
 
   

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