👨‍⚕️ Dr. BOSS 的聊天室｜Episode 19c：腸穿孔 / Bowel Perforation

👨‍⚕️ Dr. BOSS 的聊天室｜Episode 19c：腸穿孔 / Bowel Perforation BOSS Doctor’s Chatroom｜Episode 19c: Bowel Perforation 副標 / Subtitle 👨‍⚕️ Dr. BOSS × 🐨 Koala | 腸道破了一個洞，會發生什麼？ 👨‍⚕️ Dr. BOSS × 🐨 Koala | When Your Intestine Gets a Hole --- 🟦 對話稿 Dialogue（中英對照） Koala： BOSS醫生，腸穿孔是什麼？會很危險嗎？ Doctor BOSS, what is bowel perforation, and is it dangerous? BOSS 醫生： 腸穿孔指腸壁出現洞口，腸內容物可能滲入腹腔，導致嚴重感染（腹膜炎）甚至休克，是急診重症，需要立即手術處理。 Bowel perforation is a hole in the intestinal wall, allowing contents to leak into the abdominal cavity, causing severe infection (peritonitis) or shock. It is a surgical emergency requiring immediate intervention. Koala： 會有哪些症狀呢？ What symptoms would appear? BOSS 醫生： 典型症狀包括劇烈腹痛、腹部僵硬、噁心嘔吐、發燒、血壓下降甚至意識不清。 Typical symptoms include severe abdominal pain, rigidity, nausea, vomiting, fever, low blood pressure, and sometimes altered consciousness. --- 🟦 結構篇 Structure（中英對照） BOSS 醫生： 腸穿孔可以發生在小腸或大腸： Bowel perforation can occur in the small intestine or large intestine: 1. 小腸穿孔 Small Bowel Perforation 中文：多由潰瘍、外傷或腸套疊引起 English: Often caused by ulcers, trauma, or intussusception 2. 大腸穿孔 Large Bowel Perforation 中文：常見於憩室炎、腫瘤或嚴重炎症 English: Commonly caused by diverticulitis, tumors, or severe inflammation 常見原因 Common Causes: 腸道炎症 Inflammatory bowel disease 腸道憩室 Diverticulitis 腫瘤 Tumors 外傷 Trauma 罕見：穿孔性潰瘍 Perforated ulcer --- 🟦 日常使用 Daily Use（中英對照） Koala： 平常可以怎麼預防腸穿孔呢？ How can we prevent bowel perforation in daily life? BOSS 醫生： 保持腸道健康、及時治療腸道疾病，並注意高風險因素： Maintain intestinal health, promptly treat bowel diseases, and be aware of risk factors: 舉例 Examples: 及時治療憩室炎 Treat diverticulitis promptly 監控腫瘤發展 Monitor bowel tumors 避免腸道外傷 Prevent abdominal trauma 保持規律飲食與適量纖維 Regular diet and fiber intake --- 🟦 小知識 Mini Note（中英對照） Koala： 腸穿孔為什麼這麼危險？ Why is bowel perforation so dangerous? BOSS 醫生： 因為腸內容物含大量細菌，一旦進入腹腔會迅速引發全身感染（敗血症），可能危及生命，所以必須立刻手術處理。 Intestinal contents contain many bacteria, and if they enter the abdominal cavity, they can rapidly cause systemic infection (sepsis), which can be life-threatening. Immediate surgery is required.