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病史 |
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原因: 外傷引起肝、脾、腸破裂，婦產科之子宮外孕、肝癌破裂出血、少部分之出血性胰臟炎
(Cause:
Laceration of liver, spleen, intestine caused by trauma,
ectopic pregnancy, hepatoma rupture with bleeding, some
hemorrhagic pancreatitis)
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肝癌破裂出血症狀: 有些患者無症狀，而突然嚴重腹痛、嘔吐、盜汗或甚至休克。(Symptom
of hepatoma rupture with bleeding: Some patients are
asymptom and the others get sudden onset of abdominal pain
nausea, cold sweating, and shock)
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理學檢查 |
肝癌破裂出血:血壓下降、面色蒼白、呼吸及脈搏增快、腹部僵硬、腹膜炎徵候、肝臟腫大
(Hepatoma
rupture with bleeding: BP decreased, pallor, dyspnea,
tachycardia, abdominal rigidity, peritoneal sign,
hepatomegaly) |
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實驗室檢查 |
肝癌破裂出血: Hgb、Hct低、X-光檢查有異常、超音波，電腦斷層檢查有肝癌之存在、腹腔穿刺檢查有血 (Hepatoma
rupture with bleeding: Low Hgb and Hct, abnormal finding
in X-ray study, sonography and CT showed hepatoma, or
abdominal paracentesis revealed blood in ascites) |
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處理原則 |
手術治療 (Operation) |
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