外伤性脾破裂的延迟诊断——胸部创伤中使用胸段硬膜外镇痛的警示
Delayed diagnosis of traumatic rupture of the spleen--a warning of the use of thoracic epidural analgesia in chest trauma.
作者信息
Ward A J, Gillatt D A
机构信息
Departments of Orthopaedic and General Surgery, Southmead General Hospital, Bristol.
出版信息
Injury. 1989 May;20(3):178-9. doi: 10.1016/0020-1383(89)90096-x.
PMID:2599648
Abstract
Epidural analgesia is useful in controlling the pain from chest injuries. However, a case is presented where analgesia delayed the diagnosis of a splenic haematoma. Diagnosis was complicated by an initial negative peritoneal lavage.
摘要
硬膜外镇痛有助于控制胸部损伤引起的疼痛。然而，本文报告了一例因镇痛而延迟脾血肿诊断的病例。最初的腹腔灌洗结果为阴性，使诊断变得复杂。
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