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題名:An Initial Presentation of Flank Pain Caused by Thoracic Disc Herniation     (12點)
胸椎椎間盤突出以腰痛為初次的表現
著者:Jiun-Lang Su(蘇俊郎) ;Wei-Chean Tan(陳偉健) ;Chih-Chung Chao(趙志中) ;Chung-Ming Tsai(蔡仲明) ;Chao-Hsin Wu(吳肇鑫)
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:221-226
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

有症狀的胸椎椎間盤突出相對於腰椎及頸椎少,胸椎椎間盤突出之症狀極不明顯,不僅初診時沒有典型的特徵,甚至沒有明顯的神經學缺陷。因此增加了早期診斷的困難,病人常接受了不必要甚至侵襲性的檢查。本文報告一位48歲的男性因為腰痛而掛號急診。由於急診醫師的高度警覺,在一天內,藉由腹部電腦斷層診斷發現胸椎椎間盤突出。此位病人接受微創手術及經椎間孔腰椎體內融合術後康復並且不再腰痛。
Symptomatic thoracic disc herniation is less common than herniation in the cervical or lumbosacral regions, and has no characteristic or obvious neurological disability at first presentation. This increases the difficulty of an early diagnosis. Patients often experience an extensive workup and/or invasive procedures targeting other disorders before diagnosis. We present a case involving a 48-year-old male who came to our emergency room with a chief complaint of flank pain. Thoracic disc herniation was finally diagnosed in less than one day after an abdominal computed tomography scan at our emergency room due to highly alertness of our emergency doctor. The patient recovered after discectomy with miniopen transforaminal lumbar interbody fusion. No more flank pain has occurred postoperatively.


    

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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