醫學雜誌

急救加護醫學會雜誌

Volume 25, Number 1, December2014

Case Reports

Emergency Diagnosis and Disposition of Patient with Acute Spontaneous Pneumoperitoneum after Scuba Diving

Chee-Seong Phan, Ying-Hock Teng

Spontaneous pneumoperitoneum is an uncommon disease in the emergency department (ED) that defined as the non-traumatic presence of intraperitoneal free gas without an associated demonstrable lesion or evidence of peritonitis. Conservative approaches may be considered if patients with minimal clinical signs, particularly when peritoneal signs, fever and leucocytosis are absent. This article presents the diagnosis and emergency managements for a 38-year-old male patient with spontaneous pneumoperitoneum after his scuba diving.
Keyword:  spontaneous pneumoperitoneum, peritonitis, peritoneal signs, leukcocytosis

潛水後產生的急性氣腹病人的診斷及處置

潘志祥 陳永福

自發性氣腹在急診罕見,定義為非外傷造成病人腹腔蓄積游離氣體,但無明顯損傷及腹膜炎跡象。病人症狀輕微且無腹膜炎、發燒、白血球增生,保守療法即可。本文提出38歲男性病人潛水後產生自發性氣腹的診斷和緊急處置。
關鍵詞: 自發性氣腹,腹膜炎,腹膜炎跡象,白血球增生
點閱率:395