Rectus Sheath Haematoma

腹直肌鞘血腫

10.6440/TZUCMJ.199509.0211

常傳訓(Chuan-Hsun Chang)；楊迪山(Ti-Shan Yang)；羅煥鉅(Huan-Gui Lou)；謝渙發(Huan-Fa Hsieh)

腹直肌鞘血腫 ； 上腹壁動脈 ； 腹部急症 ； Fotheraill癥候 ； 抗凝血劑 ； rectus sheath haematoma ； epigastric artery ； acute abdomen ； Fothergill's sign ； anticoagulant drug

慈濟醫學雜誌

7卷3期（1995 / 09 / 01）

211 - 215

英文

在臨床上腹直肌鞘血腫並不常見，且不常列入腹部急症鑑別診斷中考慮，因此事先能正確診斷出來的並不多，臨床上高度懷疑可能罹患此病症是診斷的關鍵。常規實驗室檢查對診斷並無幫助，超音波及電腦斷層檢查診斷上的兩大利器。目前臨床上仍有不同的治癒方式，但大部份的病例均可以非手術的方式治療而有很好的效果。我們報告一例腹直肌鞘血腫的病例並針對其診斷及處置提出討論。

Rectus sheath haematomas (RSH) are uncommon in that they may be mistaken for an acute intraabdominal condition. A correct diagnosis of RSH is rarely made because they are not often considered in the differential diagnosis. A high level of clinical suspicion is the key to making the correct diagnosis. Laboratory findings seldom help in the diagnosis. Ultrasonography and CT are the two modalities that are useful in confirming the diagnosis. Views differ in regard to the optium treatment. Most cases can be managed without surgery. We here described our experience in he diagnosis and management of RSH.