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大网膜梗死。急性腹痛的隐匿病因。

Infarction of the greater omentum. Elusive cause of acute abdominal pain.

作者信息

Baxter N S, Storey D J, Airan M C

出版信息

Postgrad Med. 1986 Apr;79(5):141-3, 146. doi: 10.1080/00325481.1986.11699352.

DOI:10.1080/00325481.1986.11699352
PMID:3960796
Abstract

Omental infarction may be much more common than the number of cases reported in the literature would imply. The condition should be considered in the differential diagnosis of acute abdominal pain. A thorough search for it should be made in patients whose findings at laparotomy are not consistent with the preoperative diagnosis (usually acute appendicitis), especially when serosanguineous fluid is found in the peritoneal cavity. Treatment is excision of infarcted omentum to prevent formation of adhesions with obstructive and septic complications.

摘要

网膜梗死可能比文献报道的病例数所暗示的更为常见。在急性腹痛的鉴别诊断中应考虑到这种情况。对于剖腹手术结果与术前诊断(通常为急性阑尾炎)不一致的患者,尤其是在腹腔内发现浆液性液体时,应进行全面检查以寻找该病。治疗方法是切除梗死的网膜,以防止形成粘连并引发梗阻性和感染性并发症。

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Infarction of the greater omentum. Elusive cause of acute abdominal pain.大网膜梗死。急性腹痛的隐匿病因。
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