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http://ir.cmu.edu.tw/ir/handle/310903500/29270
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| 題名: | Triangular fibrocartilage of wrist: Presentation on high resolution ultrasonography |
| 作者: | Chiou, HJ;Chang, CY;Chou, YH;Hsu, CC;Jim, YF;Tiu, CM;Teng, MMH |
| 貢獻者: | 附設醫院放射線部;Natl Yang Ming Univ, Coll Med, Vet Gen Hosp, Dept Radiol, Taipei 112, Taiwan;Natl Def Med Ctr, Taipei, Taiwan;China Med Coll, Dept Radiol, Taichung, Taiwan |
| 日期: | 1998 |
| 上傳時間: | 2010-09-24 14:30:12 (UTC+8) |
| 出版者: | AMER INST ULTRASOUND MEDICINE |
| 摘要: | We operated on 403 patients with spontaneous pneumothorax between 1992 and 1996. Among these cases, 11 (2.7%) were spontaneous hemopneumothorax. The patients were all men, with ages ranging from 19 to 28 years (mean 23.8 years). The amount of blood drainage ranged from 650 to 2300 mi. Video-assisted thoracoscopic surgery was performed on these patients within 1 day after admission, The sources of bleeding were in the parietal and visceral pleurae of ruptured bullae (n = 6), the parietal pleura (n = 4), or the visceral pleura (It = 1). During operation, the ruptured bullae can be managed by an endoscopic linear stapler for a bullectomy, and the bleeding parietal pleura of the torn adhesion can be coagulated directly. Postoperative recovery of the 11 patients was uneventful, and they were discharged 4 to 10 days after the operation, No recurrence of spontaneous hemopneumothorax or any other complications occurred during follow-up, Thus spontaneous hemopneumothorax can be readily managed by cauterizing a bleeding site where appropriate, excising the apicocystic disease, and pleurodesis, As a minimally invasive method, video-assisted thoracoscopic surgery may be considered an initial treatment procedure in patients with spontaneous hemopneumothorax. |
| 關聯: | JOURNAL OF ULTRASOUND IN MEDICINE 17(1):41-48 |
| 顯示於類別: | [台中附設醫院] 期刊論文
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