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缺失的稻草的伦理问题。

The ethics of the missing straw.

作者信息

Bell David, Katz Eric, Klokow Anne

机构信息

Maricopa Medical Center, Department of Emergency Medicine, Phoenix, Arizona.

出版信息

West J Emerg Med. 2014 Mar;15(2):131-3. doi: 10.5811/westjem.2013.12.19452.

DOI:10.5811/westjem.2013.12.19452
PMID:24672597
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3966448/
Abstract

This case report details the emergency department course of a 34 year-old female who presented with abdominal pain and vaginal bleeding after reportedly falling one week earlier. She was subsequently found to have a drinking straw within her uterus next to an eight week-old live intrauterine pregnancy on ultrasound. This case report and discussion reviews the literature on retained foreign bodies in pregnancy while addressing the added complications of an evasive patient and a difficult consultant with significant intra-specialty disagreement.

摘要

本病例报告详细介绍了一名34岁女性在急诊科的治疗过程。据报道,该女性一周前摔倒后出现腹痛和阴道出血。随后经超声检查发现,她的子宫内有一根吸管,旁边还有一个8周大的活胎妊娠。本病例报告及讨论回顾了有关妊娠期间异物残留的文献,同时探讨了患者不配合以及会诊医生意见严重分歧所带来的额外并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2769/3966448/ea3850eae9f8/wjem-15-131-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2769/3966448/a47e1244d467/wjem-15-131-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2769/3966448/db17d0b02341/wjem-15-131-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2769/3966448/ea3850eae9f8/wjem-15-131-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2769/3966448/a47e1244d467/wjem-15-131-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2769/3966448/db17d0b02341/wjem-15-131-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2769/3966448/ea3850eae9f8/wjem-15-131-g003.jpg

相似文献

1
The ethics of the missing straw.缺失的稻草的伦理问题。
West J Emerg Med. 2014 Mar;15(2):131-3. doi: 10.5811/westjem.2013.12.19452.
2
Female Adolescent Presenting With Abdominal Pain: Accidental Wire Bristle Ingestion Leading to Colonic Perforation.以腹痛就诊的青春期女性:意外摄入钢丝刷毛致结肠穿孔。
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An Unusual Number of Self-ingested Foreign Bodies.异常数量的自摄入异物。
Am J Med Sci. 2016 Sep;352(3):324-5. doi: 10.1016/j.amjms.2016.05.022. Epub 2016 Jun 2.
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Grill Brush Bristle Case Series: Three Unique Presentations of Ingested Foreign Bodies.烤架刷刷毛病例系列:摄入异物的三种独特表现
Am J Case Rep. 2019 Aug 12;20:1189-1194. doi: 10.12659/AJCR.916268.
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[A fetal bone as a foreign body in the uterus].[子宫内作为异物的胎儿骨骼]
Lijec Vjesn. 1994 Nov-Dec;116(11-12):298-300.
6
Infertility due to intrauterine residual fetal bone fragments.宫内残留胎儿骨碎片所致不孕
J Clin Ultrasound. 2004 Jun;32(5):253-5. doi: 10.1002/jcu.20028.
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Pregnant Woman With Sudden Right Abdominal Pain.突发右腹痛的孕妇。
Ann Emerg Med. 2018 Nov;72(5):e109-e110. doi: 10.1016/j.annemergmed.2018.05.015.
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Uterine rupture at 10 weeks of gestation after laparoscopic myomectomy.腹腔镜子宫肌瘤切除术后妊娠10周发生子宫破裂。
J Med Ultrason (2001). 2016 Jan;43(1):133-6. doi: 10.1007/s10396-015-0665-x. Epub 2015 Sep 4.
9
[Corpus alienum in the uterus--diagnostic and therapeutic hysteroscopy].子宫内异物——诊断性和治疗性宫腔镜检查
Akush Ginekol (Sofiia). 2007;46(5):28-32.
10
Intrauterine foreign bodies, other than contraceptive devices and systems, may affect fertility - report of two very different cases.除避孕器具和系统外,子宫内异物可能影响生育能力——两例截然不同病例的报告。
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本文引用的文献

1
Abortion induced by a foreign body with artificial perforation of the uterus, followed by sepsis, coma, necrosis of the uterus and hysterectomy. A case report.异物致子宫人工穿孔后引发流产,继之出现败血症、昏迷、子宫坏死并行子宫切除术。病例报告。
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Surgical removal of an intrauterine device perforating the sigmoid colon: a case report.手术取出穿孔至乙状结肠的宫内节育器:一例病例报告
Int J Surg. 2008 Dec;6(6):e60-2. doi: 10.1016/j.ijsu.2007.02.006. Epub 2007 Feb 27.
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A lost intrauterine device. Guess where we found it and how it happened?
一枚丢失的宫内节育器。猜猜我们在哪儿找到它的,又是怎么找到的?
Eur J Contracept Reprod Health Care. 2006 Mar;11(1):47-9. doi: 10.1080/13625180500456791.
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ATTEMPTED ABORTION WITH RETENTION OF AN INTRAUTERINE FOREIGN BODY.稽留流产伴宫内异物残留
Can Med Assoc J. 1964 Feb 15;90(7):494-5.
5
Laparoscopic removal of an intraperitoneal translocated intrauterine contraceptive device.腹腔镜下取出腹腔内移位的宫内节育器。
Eur J Contracept Reprod Health Care. 2003 Jun;8(2):122-5.
6
[Fertility and induced abortion in poor Chilean women from the perspective of medical anthropology].从医学人类学视角看智利贫困女性的生育与人工流产
Enfoques Aten Prim. 1988 Sep;3(3):23-32.
7
Determinants of abortion among women admitted to hospitals in Fortaleza, North Eastern Brazil.巴西东北部福塔莱萨市住院女性堕胎的决定因素。
Int J Epidemiol. 1998 Oct;27(5):833-9. doi: 10.1093/ije/27.5.833.
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Maternal mortality and morbidity associated with clandestine abortions.与秘密堕胎相关的孕产妇死亡率和发病率。
J Indian Med Assoc. 1995 Feb;93(2):77-9.
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Illegal induced abortion: a study of 74 cases in Ile-Ife, Nigeria.非法人工流产:尼日利亚伊费地区74例病例研究
Trop Doct. 1992 Apr;22(2):75-8. doi: 10.1177/004947559202200209.