👨‍⚕️ Dr. BOSS 的聊天室｜Episode 19：外科急性腸道疾病

👨‍⚕️ Dr. BOSS 的聊天室｜Episode 19：外科急性腸道疾病 BOSS Doctor’s Chatroom｜Episode 19: Acute Surgical Bowel Conditions 副標 / Subtitle 👨‍⚕️ Dr. BOSS × 🐨 Koala | 外科腸道急症：疼痛與處理指南 👨‍⚕️ Dr. BOSS × 🐨 Koala | Surgical Bowel Emergencies: Pain and Management --- 🟦 對話稿 Dialogue（中英對照） Koala： BOSS醫生，外科急性腸道疾病通常會有哪些呢？ Doctor BOSS, what are the common acute surgical bowel conditions? BOSS 醫生： 主要包括闌尾炎、腸阻塞、腸穿孔、腸套疊以及嚴重憩室炎。每個疾病的發生位置和處理方式都不一樣。 The main ones include appendicitis, bowel obstruction, bowel perforation, intussusception, and severe diverticulitis. Each has a different location and management approach. Koala： 這些病痛通常都在哪個部位呢？ Where do these conditions usually occur? BOSS 醫生： 我來簡單說明： 1️⃣ 闌尾炎：闌尾位於右下腹，急性發炎需手術切除。 Appendicitis: appendix in the lower right abdomen, acute inflammation usually requires surgery. 2️⃣ 腸阻塞：小腸或大腸任意部位，因腫瘤、黏連或扭轉造成腸道阻塞。 Bowel obstruction: can occur in small or large intestine, caused by tumor, adhesions, or twisting of the bowel. 3️⃣ 腸穿孔：小腸或大腸任意段，腸壁破裂會漏出內容物，需緊急手術。 Bowel perforation: can occur anywhere in small or large intestine, rupture requires emergency surgery. 4️⃣ 腸套疊：多見於小腸，也可能發生在盲腸或大腸，造成腸阻塞和血流受阻。 Intussusception: commonly in the small intestine, sometimes at ileocecal junction or colon, causing obstruction and ischemia. 5️⃣ 嚴重憩室炎：主要在乙狀結腸（左下腹），發炎或穿孔時需手術。 Severe diverticulitis: mainly in sigmoid colon (lower left abdomen), inflammation or perforation may require surgery. --- 🟦 結構篇 Structure（中英對照） BOSS 醫生： 我們可以把這五種疾病依部位整理一下： Let’s organize these five conditions by location: 疾病 發生位置 英文 Location 闌尾炎 右下腹盲腸末端 Appendicitis Appendix, lower right abdomen 腸阻塞 小腸或大腸任意段 Bowel Obstruction Any segment of small or large intestine 腸穿孔 小腸或大腸任意段 Bowel Perforation Any segment of small or large intestine 腸套疊 小腸或盲腸-大腸交界 Intussusception Small intestine or ileocecal junction 嚴重憩室炎 乙狀結腸（左下腹） Severe Diverticulitis Sigmoid colon, lower left abdomen BOSS 醫生： 了解疾病的發生位置，有助於判斷症狀與就醫科別。 Knowing the location helps identify symptoms and decide which department to visit. --- 🟦 日常使用 Daily Use（中英對照） Koala： 平常我們可以做什麼，幫助腸道健康，降低急性外科疾病風險呢？ What can we do daily to maintain bowel health and reduce risk of acute surgical conditions? BOSS 醫生： 習慣與飲食是關鍵： Habits and diet are crucial: ✅ 好習慣 / Good Habits 規律飲食 Regular meal times 足量水分 Adequate hydration 高纖維飲食 High-fiber diet 適度運動 Moderate physical activity 及時就醫 If symptoms appear, seek medical care promptly ❌ 不良習慣 / Bad Habits 過度久坐 Sedentary lifestyle 飲食不規律 Irregular meals 高脂高糖飲食 High fat & sugar diet 忽略腹痛或便秘 Ignoring abdominal pain or constipation Koala： 原來這些簡單的生活習慣也會影響到外科急症！ So even simple lifestyle habits can impact surgical emergencies! --- 🟦 小知識 Mini Note（中英對照） BOSS 醫生： 急性腸道疾病常伴隨哪些症狀呢？ What are common symptoms of acute bowel conditions? 舉例 Examples: 腹痛 Abdominal pain 腹脹 Bloating 嘔吐 Vomiting 便秘或腹瀉 Constipation or diarrhea 發燒 Fever BOSS 醫生： 如果出現持續劇烈腹痛、嘔吐或血便，要立刻就醫，切勿拖延。 If you have persistent severe abdominal pain, vomiting, or bloody stool, seek immediate medical attention.