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在之前的形腹部创伤后,右上象限疼痛:未被诊断的创伤性腹膜,与右结肠杀
Robert Young1,2, Rajarshi Mukherjee3,2
1Department of Acute, Emergency and Trauma Surgery, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK.
BMJ case reports
|December 18, 2024
概括
一个罕见的延迟诊断右侧创伤性隔膜 (TDH) 的病例,涉及杀结肠,突出了对腹创伤后更好的后续治疗的需要. 这强调了在创伤患者中识别TDH的重要性.
科学领域:
- 创伤外科 手术 创伤外科
- 外科胃肠道外科手术
- 紧急医疗 紧急医疗
背景情况:
- 创伤性隔膜 (TDH) 的延迟诊断可能导致严重的并发症.
- 右侧的TDH与杀的腹部内脏绕过肝脏是非常罕见的.
- 18个月前发生的一起高能耗道路交通事故最初没有被调查.
研究的目的:
- 报告一个罕见的病例延迟诊断右侧创伤性隔膜.
- 讨论在创伤性隔膜中延迟诊断的影响.
- 建议对患者进行后续的系统,的腹部创伤管理非手术.
主要方法:
- 一个妇女的病例报告呈现出严重的腹痛和右上象限质量.
- 诊断成像显示,腹膜带含有窒息的右结肠.
- 进行了紧急腹腔切除术,右侧切除术,腹膜修复术和大肠切除术.
主要成果:
- 在延迟创伤性隔膜中成功手术治疗杀的右结肠.
- 患者需要紧急腹腔切除术,大肠切除术和口腔形成.
- 这一案例强调了延迟右侧TDH的罕见性和潜在严重性.
结论:
- 延迟诊断右侧创伤性隔膜,可能导致危及生命的窒息.
- 对于非手术治疗的腹外伤的改善后续方案至关重要.
- 早期识别和治疗对于创伤性隔膜的良好结果至关重要.
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