UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 成人における肝外傷のマネージメントmanagement of hepatic trauma in adults [show details]
…sensitive or specific for liver injury. Physical findings associated with liver injury include right upper quadrant or generalized abdominal tenderness, abdominal wall contusion or hematoma (eg, seatbelt …
2. 鈍的腹部外傷のある子供の肝臓、脾臓、および膵臓の損傷liver spleen and pancreas injury in children with blunt abdominal trauma [show details]
… The liver has a dual blood supply via the hepatic arteries and the portal vein. Like the spleen, the liver parenchyma has a rich blood supply,… capillary refill time, pallor, altered mental status, decreased urine output, hypotension), abdominal contusions, or tenderness over the upper abdomen. The following findings should be noted on abdominal examination: …
3. 嚢胞性線維症：肝胆道系疾患cystic fibrosis hepatobiliary disease [show details]
… between 1987 and 2009, 210 children or adolescents underwent liver or liver-lung transplantation for CFLD, compared with 84 adults . In the liver, CF transmembrane regulator (CFTR) is located on the apical …
4. 後十字靱帯損傷posterior cruciate ligament injury [show details]
…direct knee trauma and knee hyperextension, can also cause a bone contusion of the tibia, and the two injuries may coexist . Bone contusions can cause significant pain and disability, causing restrictions …
5. 成人における鈍的腹部外傷の初期評価およびマネージメント initial evaluation and management of blunt abdominal trauma in adults [show details]
… Liver function tests – Hepatic injury is associated with elevations in liver transaminase concentrations (LR 2.5-5.2),… and may also be found with isolated thoracoabdominal wall contusions or lower rib fractures.…

English Journal

Selective nonoperative management of liver gunshot injuries.

Navsaria P, Nicol A, Krige J, Edu S, Chowdhury S.
European journal of trauma and emergency surgery : official publication of the European Trauma Society. 2019 Apr;45(2)323-328.
Nonoperative management (NOM) of gunshot liver injuries (GLI) is infrequently practiced. The aim of this study was to assess the safety of selective NOM of GLI. A prospective, protocol-driven study, which included patients with GLI admitted to a level 1 trauma center, was conducted over a 52-month p
PMID 29368085

Damage control orthopedics applied in an 8-year-old child with life-threatening multiple injuries: A CARE-compliant case report.

Pfeifle VA, Schreiner S, Trachsel D, Holland-Cunz SG, Mayr J.
Medicine. 2019 Apr;98(16)e15294.
Damage control is a staged surgical approach to manage polytraumatized patients. The damage control approach comprises three steps. First, bleeding is controlled and fractures are stabilized temporarily; second, vital parameters are stabilized and the child is rewarmed in the intensive care unit; an
PMID 31008978

Roylea cinerea (D.Don) Baillon: Ethnomedicinal uses, phytochemistry and pharmacology: A review.

Pundir S, Mahindroo N.
Journal of ethnopharmacology. 2019 Mar;232()193-200.
ROYLEA CINEREA (D.DON) BAILLON: Roylea cinerea (D.Don) Baillon family Lamiaceae is a shrub of the monotypic genus. Aerial parts of the plant are used traditionally in Indian sub-Himalayas and Nepal for the treatment of jaundice, skin diseases, malaria, diabetes, febrifuge and contusions. This articl
PMID 30594605

Japanese Journal

バット素振り練習時の胃結腸間膜断裂による腹腔内出血の1例

清水義夫,五本木武志,飯田浩行,軍司直人,大河内信弘
日本臨床外科学会雑誌 79(10), 2058-2062, 2018
症例は腹痛を主訴に外来を受診した，20歳の男性である．夕食を過量摂取後に野球の素振りを30分間行ったが，約4時間後より突然腹痛が出現した．来院時にはショック症状はなかったが，腹部全体に筋性防御と反跳痛を認めた．腹部CTにて肝表面，Douglas窩，左網嚢内に血腫を疑う液体貯留を認めた．緊急血管造影では腹腔動脈や上腸間膜動脈に動脈瘤や造影剤の血管外漏出は認めなかった．その後プレショックとなったため， …
NAID 130007640026

外傷性横隔膜ヘルニア手術4例の検討

山本恭通,星野大葵,小阪真二
日本呼吸器外科学会雑誌 31(6), 763-770, 2017
<p>外傷性横隔膜ヘルニア4例を検討した．症例1：転落外傷でくも膜下出血や肝損傷を合併した右横隔膜ヘルニアを受傷10日目に直接縫合した．症例2：交通外傷で硬膜下血腫，くも膜下出血を合併した右横隔膜ヘルニアを受傷9日目に直接縫合した．症例3：転落外傷で多発骨折と肺挫傷を合併した右横隔膜ヘルニアを経過観察中，肝臓の胸腔内脱出が悪化し翌日直接縫合した．症例4：交通外傷でくも膜下出血，腎損傷を …
NAID 130006077927