急诊科超声引导下外伤性腹壁血肿经皮引流
Ultrasound-guided percutaneous drainage of a traumatic abdominal wall hematoma in the emergency department.
机构信息
Emergency Department, Las Vegas Clinica, Medellin, Colombia.
出版信息
World J Emerg Med. 2012;3(4):308-10. doi: 10.5847/wjem.j.issn.1920-8642.2012.04.013.
BACKGROUND
Abdominal wall hematoma is due to trauma, coagulation disorders or anticoagulation therapy complications.
METHODS
In this report we present a case of a 44-year-old female who suffered from blunt abdominal trauma and presented to the emergency department with sharp abdominal pain and ecchymosis. FAST and abdominal computerized tomography (CT) revealed an abdominal wall hematoma. Treatment with an ultrasound-guided percutaneous drainage was performed successfully.
RESULTS
The patient remained under observation for six hours with serial ultrasound scans, and no signs of hematoma recurrence were present. She was discharged the same day with clinical improvement.
CONCLUSION
Complete history investigation and clinical examination help to make a correct diagnosis of abdominal wall hematoma, select a prompt treatment, and reduce complications.
背景
腹壁血肿是由创伤、凝血障碍或抗凝治疗并发症引起的。
方法
本报告介绍了一例 44 岁女性患者，因钝性腹部创伤就诊，表现为剧烈腹痛和瘀斑。FAST 和腹部计算机断层扫描（CT）显示腹壁血肿。成功进行了超声引导下经皮引流治疗。
结果
患者在连续超声扫描下观察 6 小时，未见血肿复发迹象。她在当天出院，临床症状改善。
结论
全面的病史调查和临床检查有助于正确诊断腹壁血肿，选择及时的治疗方法，并减少并发症。
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