胃扭转
Gastric volvulus.
作者信息
Chau Bang, Dufel Susan
机构信息
University of Connecticut Health Center, Emergency Medicine Residency, Hartford, Connecticut, USA.
出版信息
Emerg Med J. 2007 Jun;24(6):446-7. doi: 10.1136/emj.2006.041947.
Abstract
Gastric volvulus is a rare disease with an unknown incidence. Unless it stays in the back of the diagnostician's mind, diagnosis of gastric volvulus, which can have significant morbidity and mortality associated with it, can be easily missed. Unstable vital signs and distressed appearance are not always present, as in textbook cases. The presence of a hiatal hernia with persistent vomiting despite initial antiemetic treatment should trigger one to think of gastric volvulus, despite the patient appearing very stable. With the advent of CT and laparoscopic surgery, the gold standards for diagnosing and treating this disease are ever evolving.
摘要
胃扭转是一种发病率不明的罕见疾病。除非诊断医生时刻牢记，否则与显著发病率和死亡率相关的胃扭转很容易被漏诊。与教科书病例不同，患者不一定总是出现生命体征不稳定和痛苦面容。尽管最初进行了止吐治疗，但存在食管裂孔疝并持续呕吐时，即使患者看起来非常稳定，也应促使医生考虑胃扭转。随着CT和腹腔镜手术的出现，诊断和治疗这种疾病的金标准也在不断发展。
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