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項次 書目
1
題名:Atypical Presentation of Ectopic Pregnancy in an Obese Woman: A Case Report     (10點)
子宮外孕在一名肥胖婦人的非典型表現:一個病例報告
著者:Teck-Jin Yang(楊德仁) ;HO-FU HSIAO(蕭合莆) ;Hung-Hsin Mo(毛宏鑫)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
刊名:Journal of Emergency and Critical Care Medicine
卷期:21卷4期(2010.12)
頁碼:216-220
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

一名37歲的肥胖婦女因意識混亂,腹瀉以及呼吸過快送至急診,理學檢查發現呼吸音順暢,腹部柔軟。初步診斷為急性腸胃炎合併換氣過度後,隨即因D-dimer升高而懷疑是肺栓塞,但臨床表現及其它實驗室數據並不支持此診斷,一小時後病患卻出現休克現象及持續腹部不適,緊急安排腹部電腦斷層後,發現腹內出血的情形。之後病人接受了剖腹探查術,發現是子宮外孕破裂並予以清除。病患於五日後痊癒出院,術後於門診追踪復原良好。
A 37-year-old obese woman (BMI=44.3) presented with disturbed consciousness, severe diarrhea and tachypnea. Physical examination revealed clear breathing sounds and a soft abdomen. She was initially treated as AGE and later a case of pulmonary embolism was suspected due to a high level of D-dimer. However the clinical presentation and the blood gas readings did not support a diagnosis of pulmonary embolism. Unstable hemodynamics developed within one hour. Emergency abdominal and pelvic computed tomography showed that this was a case of internal bleeding of unknown origin. Subsequently, the patient was subjected to laparotomy and a ruptured intratubal pregnancy was evacuated. She was discharged 5 days after admission as well and the recovery was still favorable at the 2 months follow-up.


    

本卷期目次
Journal of Emergency and Critical Care Medicine 21卷4期 (2010.12)
The Effect of Steroid on Post-Resuscitation Outcome in Patients with Out-of-Hospital Cardiac Arrest/ CHIH-YI LINChien-Hua HuangMin-Shan TsaiWei-Tien ChangChiung-Yuan HsuShyr-Chyr ChenWen-Jone Chen
Subcapsular Hematoma of Kidney with Rupture into the Perirenal Space After Extracorporeal Shock Wave Lithotripsy: A Case Report/ Liang-Chung HuangMeng-Chia ChenChe-Wei Hsu
Chylothorax Following Esophagectomy: Report of Two Cases/ Ming-Ho WuHan-Yun Wu
QT Interval in Patients with Acute Carbon Monoxide Poisoning: Does Carbon Monoxide Poisoning Affect QT Interval?/ Chun-Chien ChiuChi-Wen JuanTa-Lun KaoChiu-Kuei NienYung-Zu Tseng
Atypical Presentation of Ectopic Pregnancy in an Obese Woman: A Case Report/ Teck-Jin YangHO-FU HSIAOHung-Hsin Mo
An Initial Presentation of Flank Pain Caused by Thoracic Disc Herniation/ Jiun-Lang SuWei-Chean TanChih-Chung ChaoChung-Ming TsaiChao-Hsin Wu
Malposition of a Sengstaken-Blakemore Tube: A Case Report/ Mao-Heng WangMING-HUI LINTZU-YI CHUANGShih-Wei Lee
Ruptured Liver Abscess: A Rare Cause of Pneumoperitoneum/ Yuan KaoChung-Hsun ChuangWEI-JING LEEHung-Jung Lin
Acute Emphysematous Cholecystitis/ Kaung-Chau TsaiWing-Keung CheungChien-Chu LinMIN PO HO
Adult Intussusception/ Tzu-Meng YangWEI-JING LEESi-Chon Vong
Ruptured Renal Angiomyolipoma: An Unusual Cause of Flank Pain in Emergency Department/ Mung-Chee HuChu-Chung ChouChin-Fu ChangWen-Liang Chen
Coincidence of Acute Coronary Syndrome and Pulmonary Embolism in a 74-Year-Old Man/ CHEN-TUNG HSURei-Yeuh ChangCheng-Kang Chen
Early Fournier Gangrene/ JIA-SHUO TSAI(HENRY)Ren-Jen Tseng
 
   
 
   

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