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咳嗽后腹壁自发性出血引起的格雷特纳征和卡伦征。

Grey Turner's and Cullen's signs induced by spontaneous hemorrhage of the abdominal wall after coughing.

作者信息

Fan Zhe, Zhang Yingyi

机构信息

Department of General Surgery, The Third People's Hospital of Dalian, Dalian Medical University, Dalian, China.

出版信息

Ann Surg Treat Res. 2017 Aug;93(2):115-117. doi: 10.4174/astr.2017.93.2.115. Epub 2017 Jul 28.

Abstract

Grey Turner's and Cullen's signs are rare clinical signs, which most appear in patients with severe acute pancreatitis. The present patient complained of abdominal pain after coughing. However, contrast-enhanced CT revealed a hemorrhage of the abdominal wall. Therefore, spontaneous hemorrhage of the abdominal wall was diagnosed. The patient recovered through immobilization and hemostasis therapy. This case report and literature review aims to remind clinicians of manifestations and treatment of spontaneous hemorrhage.

摘要

格雷特纳征和卡伦征是罕见的临床体征,多见于重症急性胰腺炎患者。本例患者咳嗽后出现腹痛。然而,增强CT显示腹壁出血。因此,诊断为自发性腹壁出血。患者通过制动和止血治疗后康复。本病例报告及文献复习旨在提醒临床医生注意自发性出血的表现及治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07dd/5566746/d8b9f7e3fc1e/astr-93-115-g001.jpg

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