越南船民中不明原因的败血症和气腹：一种自我造成的病症？
Unexplained septicaemia and pneumoperitoneum in Vietnamese boat people: a self-inflicted condition?
作者信息
Chung C C, Cheng C W, Lau W Y, Li A K
机构信息
Department of Surgery, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.
出版信息
Aust N Z J Surg. 1996 Jan;66(1):26-8. doi: 10.1111/j.1445-2197.1996.tb00695.x.
BACKGROUND
Ten Vietnamese boat people with septicaemic shock or pneumoperitoneum were admitted between April and July 1993.
METHODS
In order to investigate the cause of unexplained septicaemic shock and spontaneous pneumoperitoneum in Vietnamese boat people, an audit was carried out. Attention was paid to the mode of presentation, abnormal physical signs, presence of injection marks, radiological signs, subsequent progress outcome.
RESULTS
The clinical and radiological findings were all in favour of self-inflicted conditions. A retrospective review from the hospital record revealed that the emergency admission rate and disappearance rate of the Vietnamese boat people was higher than those of other patients (P<0.001).
CONCLUSION
It is concluded that self-inflicted conditions are a serious problem among the Vietnamese boat people, who may use a hospital admission to avoid the detention centre.
背景
1993年4月至7月间，收治了10名患有败血症性休克或气腹的越南船民。
方法
为调查越南船民不明原因的败血症性休克和自发性气腹的病因，进行了一次审查。关注了临床表现方式、异常体征、注射痕迹的存在、放射学征象及后续进展结果。
结果
临床和放射学检查结果均支持自伤情况。对医院记录的回顾显示，越南船民的急诊入院率和消失率高于其他患者（P<0.001）。
结论
得出结论，自伤情况在越南船民中是一个严重问题，他们可能利用住院来逃避拘留中心。
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