Anonymous
Anonymous asked in 健康其他:保健 · 1 decade ago

超急~~醫院病史幫忙翻譯

This 81 y/o female patient is a case of bilateral rheumatoid arthritis s/p bilateral TKA.

Under patient statment and ER record.

She suffered from fever for one week and presented with diffuse abdominal pain since this morning.

She had visited to our ER for help.

The leukocytosis,CRP level 17.6mg/dl,and hypotension were noted.

The abdominal CT revealed air density in the anterior perihepatior

space, extravasation of contrast medium(possibly in stomach level)

and dirty mesentery are seen suggestive of hollow organ perforation.

The impression PPU with peritionitis and septic shock were informed.

The suggestion of exploratory laparotomy was informed.

Then she was admitted to our ward for further evaluation and management.

1 Answer

Rating
  • 心蓮
    Lv 5
    1 decade ago
    Favorite Answer

    這個81歲的女病患是一個雙側類風濕性關節炎做過雙側人工膝關節置換術。

    依病患陳訴及急診病歷記載,她已發燒一星期了,今天早上開始廣泛的肚子痛,所以來急診求診。

    有發現白血球增多,發炎指數上升達(17.6)及低血壓的情形。

    腹部電腦斷層掃描顯現,在肝臟前方有空氣,顯影劑外露(可能是從胃出來的)及髒的腸繫膜,懷疑有中空的器官穿孔。

    故臆測為消化性潰瘍穿孔併腹膜炎及敗血性休克。建議剖腹探查術。所以她被收住院以進一步評估和處理。

    Source(s): 經驗
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