张力性气腹的保守治疗
Conservative management of tension pneumoperitoneum.
作者信息
Khan Z A J, Novell J R
机构信息
Department of Surgery, Luton and Dunstable Hospital, UK.
出版信息
Ann R Coll Surg Engl. 2002 May;84(3):164-5.
Abstract
Tension pneumoperitoneum is characterized by a rapidly increasing intra-abdominal pressure, the haemodynamic and respiratory consequences of which are potentially fatal. Prompt laparotomy, surgical drainage and identification of possible sites of perforation is usually advocated in spite of previous reports of negative laparotomies in the literature. We report the successful non-surgical management of two cases of tension pneumoperitoneum.
摘要
张力性气腹的特点是腹内压迅速升高，其血流动力学和呼吸方面的后果可能是致命的。尽管文献中此前有剖腹探查阴性的报道，但通常仍主张迅速进行剖腹手术、手术引流并确定可能的穿孔部位。我们报告了两例张力性气腹非手术治疗成功的病例。
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