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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.

DOI:10.4174/astr.2017.93.2.115
PMID:28835889
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5566746/
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/b4748d3be5ab/astr-93-115-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07dd/5566746/d8b9f7e3fc1e/astr-93-115-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07dd/5566746/b6d5e0a752d7/astr-93-115-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07dd/5566746/b4748d3be5ab/astr-93-115-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07dd/5566746/d8b9f7e3fc1e/astr-93-115-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07dd/5566746/b6d5e0a752d7/astr-93-115-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07dd/5566746/b4748d3be5ab/astr-93-115-g003.jpg

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引用本文的文献

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Abdominal Physical Signs of Inspection and Medical Eponyms.腹部视诊体征及医学专用名词
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本文引用的文献

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Endobronchial Cartilage Rupture: A Rare Cause of Lobar Collapse.
Case Rep Pulmonol. 2016;2016:8178129. doi: 10.1155/2016/8178129. Epub 2016 Jul 25.
2
Grey-Turner's sign after modified Kugel herniorrhaphy.改良库格尔疝修补术后的格雷-特纳征。
Int J Clin Exp Med. 2014 Dec 15;7(12):5928-9. eCollection 2014.
3
A ruptured omental aneurysm, a rare cause of intraabdominal bleeding.
Ann Vasc Surg. 2014 Feb;28(2):491.e9-11. doi: 10.1016/j.avsg.2013.02.028. Epub 2013 Nov 23.
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Acute abdominal pain secondary to retroperitoneal bleeding from a giant adrenal lipoma with review of literature.巨大肾上腺脂肪瘤继发腹膜后出血所致急性腹痛并文献复习
Asian J Surg. 2009 Jul;32(3):172-6. doi: 10.1016/S1015-9584(09)60390-0.
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Spontaneous lateral abdominal wall hematoma presenting as an incidental mass in a young adult.一名年轻成人出现自发性腹壁外侧血肿，表现为偶然发现的肿块。
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Primary osteosarcoma of the kidney with retroperitoneal hemorrhage. Case report and review of the literature.肾原发性骨肉瘤伴腹膜后出血。病例报告及文献复习。
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Spontaneous retroperitoneal and rectus muscle hemorrhage as a potentially lethal complication of cirrhosis.
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Splenic peliosis with spontaneous splenic rupture: report of two cases.伴有自发性脾破裂的脾性紫癜：两例报告
BMC Surg. 2006 Jun 26;6:9. doi: 10.1186/1471-2482-6-9.
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Rectus sheath hematoma: review of 126 cases at a single institution.腹直肌鞘血肿：单机构126例病例回顾
Medicine (Baltimore). 2006 Mar;85(2):105-110. doi: 10.1097/01.md.0000216818.13067.5a.
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Complications of cough: ACCP evidence-based clinical practice guidelines.咳嗽的并发症：美国胸科医师学会循证临床实践指南
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