原名「台灣學術線上」
包含TAO期刊庫 + TAO書籍庫 + 論文 + 史料文獻
首頁 | 關於TAO | 瀏覽 | 進階查詢 | 參考工具 | 會員服務 | 已購專書 | RSS服務 | 電子報 | FAQ  
查詢範圍:
   
查詢模式:
熱門查詢詞:
dvd拓撲學軍訓教官工具機 調機
   
   
   
     
   
 
項次 書目
1
題名:Fistula between Esophagust Subclavian Artery Caused by Foreign Body Penetration: Report of a Case     (10點)
食道異物穿刺引發之食道鎖骨下動脈?管:病例報告
著者:Jia-Ming Chang(張家銘) ;Yueh-Feng Tsai(蔡岳峰) ;Ming-Ho Wu(吳明和) ;Yau-Lin Tseng(曾堯麟) ;Wu-Wei Lai(賴吾為) ;Mu-Yen Lin(林木源) ;I-Ling Hsu(許以霖)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:subclavian arterio-esophageal fistula ; esophageal foreign body ; hematemesis
刊名:Formosan journal of surgery
卷期:39卷1期(2006.2)
頁碼:19-23
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

動脈食道?管是食道異物穿刺後極度少見且高度致命性的併發症。就目前所知醫學文獻報告,只有二病例報告。我們在此報告一例44歲男性,在吞食鴨骨不順之後發生脖子及胸部疼痛,十三天後併發大量吐血現象。食道鏡發現在離門齒25公分處有一食道黏膜撕裂傷。經緊急探查手術行上半部部分胸骨切開及左側頸部切開,發現在離左鎖骨下動脈2公分處有一食道?管並與以結紮控制,然而病患仍於術後隔日死於休克及大量輸血症候群併發多器官衰竭。 動脈食道?管之臨床表現相似於主動脈食道?管。臨床狀況之不穩定及急迫性使得診斷與處理極為困難,需要高度的懷疑、緊急食道鏡檢查;而成功的治療更需要及早的病患復甦處理,出血控制及正確的手術計畫。
Arterio-esophageal fistula (AEF) is an extremely rare, life-threatening complication caused by esophageal foreign body penetration. To the best of our knowledge, there have been only two cases documented in the English literature. Herein we present a 44-year-old male with neck and chest pain after a problematic ingestion of duck bone. Exsanguinating hematemesis occurred thirteen days later. Esophagoscopy revealed an esophageal mucosal tear located at 25 cm from the incisors. A left subclavian arterio-esophageal fistula at 2 cm above the root of the artery was controlled via an oblique incision on the left of the neck with upper partial sternotomy, however, the patient died the day following the surgery from multiple organ failure due to prolonged shock and massive blood transfusion. The clinical presentation of AEF resembles that of the aorto-esophageal fistula (AoEF). The main difficulty in diagnosis and management caused by unstable clinical status and limited time available necessitates high suspicion and urgent esophagoscopy, and successful treatment requires early resuscitation, effective bleeding control, and proper surgical planning.


    

本卷期目次
Formosan journal of surgery 39卷1期 (2006.2)
Rectal Ameboma Associated with Amebic Liver Abscess Mimicking Rectal Carcinoma with Liver Metastasis: Report of a Case/ Hsin-Yuan LinYang-Guo FanDien-Wei Wang
Idiopathic Thoracic Duct Stenosis Causing Chylopericardium: Report of a Case/ Li-Ming HsuPo-Chih Cheng
Intraoperative Intracranial Pressure Monitoring for Early Detection of Delayed Intracranial Hematoma: A Report of 3 Cases/ Tsung-Chih YehJinn-Rung KuoChung-Ching Chio
Tension Pneumocephalus: Report of Two Cases/ Te-Cheng YuehKuang-Chen HungDyi-Sheng Chang
Magnolol Modifies the Cytokine Response after Sublethal Hemorrhage/ Hsin-Chin ShihJackson Jerkan WuMu-Shun HuangChun-I HuangChen-Hsen Lee
Photodynamic Diagnosis Using Photofrin(superscript ®) for Induced Malignant Oral Lesions in an Animal Model/ Muh-Shi LinSally M H ChengPei-Shu HwangCheng-Jen Chang
Fistula between Esophagust Subclavian Artery Caused by Foreign Body Penetration: Report of a Case/ Jia-Ming ChangYueh-Feng TsaiMing-Ho WuYau-Lin TsengWu-Wei LaiMu-Yen LinI-Ling Hsu
Spontaneous Rupture of the Kidney due to Genitourinary Tuberculosis/ Yen-Chieh WangYung-Chiong ChowWen-Chou LinStone Yang
Caval Inflow Occlusion during Surgery for Tricuspid Infective Endocarditis: Report of a Case/ Kuan-Ming ChiuJer-Shen ChengTzu-Yu LinShu-Hsun ChuShao-jung Li
Magnolol Modifies the Cytokine Response after Sublethal Hemorrhage/ Hsin-Chin ShihJackson Jerkan WuMu-Shun HuangChun-I HuangChen-Hsen Lee
Fistula between Esophagust Subclavian Artery Caused by Foreign Body Penetration: Report of a Case/ Jia-Ming ChangYueh-Feng TsaiMing-Ho WuYau-Lin TsengWu-Wei LaiMu-Yen LinI-Ling Hsu
Spontaneous Rupture of the Kidney due to Genitourinary Tuberculosis/ Yen-Chieh WangYung-Chiong ChowWen-Chou LinStone Yang
Intraoperative Intracranial Pressure Monitoring for Early Detection of Delayed Intracranial Hematoma: A Report of 3 Cases/ Tsung-Chih YehJinn-Rung KuoChung-Ching Chio
Caval Inflow Occlusion during Surgery for Tricuspid Infective Endocarditis: Report of a Case/ Kuan-Ming ChiuJer-Shen ChengTzu-Yu LinShu-Hsun ChuShao-Jung Li
Tension Pneumocephalus: Report of Two Cases/ Te-Cheng YuehKuang-Chen HungDyi-Sheng Chang
Idiopathic Thoracic Duct Stenosis Causing Chylopericardium: Report of a Case/ Li-Ming HsuPo-Chih Cheng
Rectal Ameboma Associated with Amebic Liver Abscess Mimicking Rectal Carcinoma with Liver Metastasis: Report of a Case/ Hsin-Yuan LinYang-Guo FanDien-Wei Wang
Photodynamic Diagnosis Using PhotofrinR for Induced Malignant Oral Lesions in an Animal Model/ Muh-Shi LinSally M H ChengPei-Shu HwangCheng-Jen Chang
 
   
 
   

與TAO合作 | 隱私與版權聲明 | 聯絡方式 | 下載Adobe Reader
地址:台北市中正區(100)北平東路30-12號3樓
電話:(02)2393-6968 傳真:(02)2393-6877
Email: service@wordpedia.com
Wordpedia Family: 學校、企業版入口 | 遠流影音館
Copyright©2011 Wordpedia Co., Ltd. All Rights Reserved.