کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8717735 1588075 2017 12 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Esophageal perforation due to blunt chest trauma: Difficult diagnosis because of coexisting severe disturbance of consciousness
ترجمه فارسی عنوان
سوراخ شدن مری به علت آسیب به قفسه سینه: تشخیص دشواری به علت اختلال شدید همیشگی آگاهی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
چکیده انگلیسی
Esophageal perforation due to blunt trauma is a rare clinical condition, and the diagnosis is often difficult because patients have few specific symptoms. Delayed diagnosis may result in a fatal clinical course due to mediastinitis and subsequent sepsis. In this article, we describe a 26-year-old man with esophageal perforation due to blunt chest trauma resulting from a motor vehicle accident. Because a severe disturbance of consciousness masked the patient's trauma-induced thoracic symptoms, we required 11 h to diagnose the esophageal perforation. Therefore, the patient developed septic shock due to mediastinitis. However, his subsequent clinical course was good because of prompt combined therapy involving surgical repair and medical treatment after the diagnosis.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Emergency Medicine - Volume 35, Issue 11, November 2017, Pages 1790.e3-1790.e5
نویسندگان
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