書誌事項
- タイトル別名
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- Diaphragmatic rupture caused by seatbelt injury.
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An increasing tendency for the occurrence of traumatic diaphragmatic injury has been noted with a recent increase in traffic accidents. Herein, a case of diaphragmatic rupture associated with a 3-point seatbelt is described. An 82-year-old female was seen at our hospital because of a traffic accident on May 29, 1994. She was a front seat passenger wearing a seatbelt. Physical examination showed dyspnea, abdominal distention and Blumberg's sign. Laboratory data showed her white blood cell count to be as high as 15, 600/μl. An X-ray examination revealed bowel gas in the pleural cavity. Emergency operation was undertaken under a preoperative diagnosis of left diaphragmatic rupture and panperitonitis. At laparotomy, pus-like ascites and a left diaphragmatic rupture measuring 10cm in diameter were revealed. Moreover, the perforation was confirmed to be located in the cecum. Closure of the diaphragmatic rupture and ileocecal resection were performed but she died of cardiac failure one day after the operation. A diaphragmatic rupture associated with an elevation of intraperitoneal pressure, caused by a seatbelt, should be considered in patients with seatbelt injuries.
収録刊行物
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- 日本救急医学会雑誌
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日本救急医学会雑誌 7 (12), 760-764, 1996
一般社団法人 日本救急医学会
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詳細情報 詳細情報について
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- CRID
- 1390001204371298304
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- NII論文ID
- 10005647400
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- NII書誌ID
- AN10284604
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- ISSN
- 18833772
- 0915924X
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可