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首页> 外文期刊>Studies in Health Technology and Informatics >Fatal Spontaneous Hemoperitoneum in a Patient with Cervical Spine Injury: A Case Report
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Fatal Spontaneous Hemoperitoneum in a Patient with Cervical Spine Injury: A Case Report

机译:颈椎损伤患者致命的自发性腹膜炎:一例报告

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Introduction: Severe spontaneous hemoperitoneum has been rarely reported in the literature. The morbidity and mortality rates were quite high from the previous report.rnObjectives: To our knowledge, this problem in orthopaedic patient has never been reported and identified in previous literatures. We reported this case study for awareness of this problem in a patient with cervical spine injury. Materials and Methods: We present a lethal massive spontaneous hemoperitoneum in a 50-year-old male with 2-weeks previously, cervical spinal injury caused by falling from 3-meters scaffolding at the construction area and had bilateral facet subluxation at the C5-6 level with incomplete cord lesion (American spinal injury association: ASIA C grade) without another associated injuries. He underwent an operation as the anterior cervical discectomy and fusion with iliac bone graft and plating at the C5-6 level after 20 hours of the injury. On the fourteenth day after an injury, the patient developed acute hemodynamic unstable and cardiac arrest in an hour. The patient had no previously abdominal complaint. Results: The postmortem examination revealed intraperitoneal fresh blood 1,000 milliliters and fresh blood in stomach and bowels 500 milliliters without identification of definitive source of bleeding. There was no determining finding of other abnormalities.rnConclusion and Significance: We emphasized the importance of a high index of suspicion of this diagnosis in the patient who had previous trauma, particularly in cervical spinal injury with neurological deficit that might prevent the patient to recognize preceding abdominal symptoms.
机译:简介:文献中很少报道严重的自发性腹膜炎。目的:据我们所知,骨科患者的这一问题从未在以前的文献中被报道和发现。我们报道了本案例研究,目的是让颈椎损伤患者意识到这一问题。材料和方法:我们对一名50岁的男性进行了2周前的致死性大规模自发性腹膜性腹膜活检,该病例是在施工区3米长的脚手架跌落引起的颈椎脊髓损伤,并且在C5-6处双侧小关节半脱位脊髓损伤程度不完全的水平(美国脊髓损伤协会:ASIA C级),而没有其他相关损伤。受伤20小时后,他接受了颈前路椎间盘切除术的手术,并与with骨植骨融合并在C5-6水平上进行了钢板固定。受伤后第14天,患者在一小时内出现了急性血液动力学不稳定和心脏骤停。该患者先前没有腹部不适。结果:死后检查显示腹膜内新鲜血液为1000毫升,胃和肠内新鲜血液为500毫升,未发现确切的出血源。尚无确定的其他异常发现。rn结论和意义:我们强调对先前有创伤的患者,尤其是颈椎神经功能缺损的脊髓损伤可能怀疑该诊断的患者,高度怀疑该诊断的重要性腹部症状。

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    Department of Orthopaedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand;

    rnDepartment of Orthopaedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand;

    rnDepartment of Orthopaedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand;

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