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タイトル: | 多臓器障害を併発した外傷性膀胱破裂の2例 |
その他のタイトル: | Two cases of traumatic bladder rupture with multiple organ failure |
著者: | 奥村, 昌央 木村, 仁美 高木, 隆治 塚田, 昭一 |
著者名の別形: | Okumura, Akiou Kimura, Hitomi Takagi, Ryuji Tukada, Shouichi |
キーワード: | Bladder rupture Multiple organ failure Infection |
発行日: | Nov-1991 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 37 |
号: | 11 |
開始ページ: | 1543 |
終了ページ: | 1546 |
抄録: | We report two cases of traumatic bladder rupture complicated by multiple organ failure (MOF). The first patient had an extraperitoneal bladder rupture and right femoral bone fracture, which were treated conservatively. However, intrapelvic abscess and adult respiratory distress syndrome (ARDS) which was caused by fat embolism resulted in MOF. The second patient who had been under treatment for malignant lymphoma for three years had an intraperitoneal bladder rupture with ruptures of spleen, intestine and diaphragm. We closed the defects in the bladder, intestine, diaphragm and performed splenectomy. We also provided suprapubic cystostomy and a urethral catheter. However, wound abscess and hepatic failure occurred postoperatively. She died of MOF 20 days after the operation. We stress that in the treatment of bladder rupture, intensive chemotherapy for infection must be done when there are complications of other visceral injuries. |
URI: | http://hdl.handle.net/2433/117358 |
PubMed ID: | 1767778 |
出現コレクション: | Vol.37 No.11 |
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