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咪咪笑 asked in 社會與文化語言 · 1 decade ago

請醫學護理相關翻譯達人幫幫我之2

不好意思 麻煩請醫學相關翻譯達人高手幫幫我翻譯一下

Upper gastrointestinal bleeding from primary aortoduodenal fistula (PADF) is unusual and fatal.

The etiology of PADF from tuberculous aortitis is rare.

We report a 69-year-old male patient who suffered recurrent hematemesis and hematochezia with hypovolemic shock of unknown origin. Initial endoscopy failed to lead to a diagnosis.

A bleeder over the third portion of the duodenum was found after the thirdendoscopy. Exploratory laparotomy showed a ruptured aortic pseudoaneurysm with an aortoduodenal fistula.

Dacron graft repair of the aorta and simple closure of the duodenal fistula were carried out.

Pathologic examination revealed tuberculous aortitis. The patient survived and was symptom-free following operation and antituberculous therapy.

Review of the literature revealed that the clinical presentations in this disorder are insidious.

The endoscopic findings are atypical.

We conclude that so-called “herald bleeding”, a history of tuberculous infection or aortic aneurysm and a high degree of suspicion are critical for successful diagnosis.

Early diagnosis and surgical exploration are needed for timely and successful

management. [J Formos Med Assoc 2008;107(1):77–83]

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  • 老古
    Lv 7
    1 decade ago
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    Upper gastrointestinal bleeding from primary aorto duodenal fistula (PADF) is unusual and fatal.

    原發性主動脈瘤消化道瘺患者之上腸胃道出血是不尋常而且有致命的風險

    The etiology of PADF from tuberculous aortitis is rare.

    從結核病性主動脈炎來的原發性主動脈瘤消化道瘺並不多見.

    We report a 69-year-old male patient who suffered recurrent hematemesis and hematochezia with hypovolemic shock of unknown origin. Initial endoscopy failed to lead to a diagnosis.

    我們提報有一69歲患有反覆性吐血, 便血暨不明原因低血容量休克之男性病患. 以內視鏡進行初診無法診斷出其疾病.

    A bleeder over the third portion of the duodenum was found after the third endoscopy. Exploratory laparotomy showed a ruptured aortic pseudoaneurysm with an aortoduodenal fistula.

    在第三次內視鏡檢查時發現在十二指腸的第三部份有一個出血口. 剖腹探查術顯示有一個破裂的大動脈偽動脈瘤其中有一主動脈瘤消化道瘺.

    Dacron graft repair of the aorta and simple closure of the duodenal fistula were carried out.

    對大動脈進行了達克隆移植之修補而且對十二指腸瘻管也進行了簡單閉合手術.

    Pathologic examination revealed tuberculous aortitis. The patient survived and was symptom-free following operation and antituberculous therapy.

    病理學檢查可發現結核病性主動脈炎. 病患在手術及抗結核治療後病患存活而且症狀沒有繼續

    Review of the literature revealed that the clinical presentations in this disorder are insidious(容易令人誤入陷阱).

    The endoscopic findings are atypical(非典型的)

    We conclude that so-called “herald bleeding”, a history of tuberculous infection or aortic aneurysm and a high degree of suspicion are critical for successful diagnosis. 我們的結論是: 所謂的“先兆出血”, 結核性感染或大動脈瘤之病史以及高度的存疑是成功診斷的關鍵因素

    Early diagnosis and surgical exploration are needed for timely and successful management. [J Formos Med Assoc 2008;107(1):77–83]

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