开放性结直肠手术后气腹在胸部X光片上的持续时间。

Duration of pneumoperitoneum on chest radiograph after open colorectal surgery.

作者信息

Shatari T, Clark M A, Keighley M R B

机构信息

Department of Surgery, Queen Elizabeth Hospital, University of Birmingham, Edgbaston, Birmingham, B15 2TH, UK.

出版信息

Tech Coloproctol. 2004 Mar;8(1):27-30. doi: 10.1007/s10151-004-0047-7.

DOI:10.1007/s10151-004-0047-7

PMID:15057586

Abstract

BACKGROUND

Postoperative pneumoperitoneum on a plain chest radiograph is a potentially important medicolegal document of possible complication. However, pneumoperitoneum may be observed without significance after intra-abdominal procedures.

METHODS

Between April 2001 and March 2002, 204 consecutive open laparotomies for colorectal surgery were studied. Sixty-three patients had 97 chest radiographs taken before the twenty-fifth postoperative day.

RESULTS

Only one patient had subdiaphragmatic air (height >20 mm) on the tenth postoperative day associated with a visceral perforation. Normal subdiaphragmatic pneumoperitoneum was observed on 11 films in 8 patients (13%). Small amounts of air (<15 mm high) were observed in 7 (15%) of 47 radiographs on days 0-5, in 4 (18%) of 25 radiographs on days 6-10, but in no radiograph of 24 after day 10.

CONCLUSIONS

Subdiaphragmatic pneumoperitoneum less than 20 mm high is often observed between the sixth and tenth postoperative days, without clinical importance.

摘要

背景

胸部X线平片上的术后气腹是可能并发症的一份潜在重要的法医学文件。然而，在腹部手术后也可能观察到无意义的气腹。

方法

在2001年4月至2002年3月期间，对连续204例接受结直肠手术的开腹手术患者进行了研究。63例患者在术后第25天之前拍摄了97张胸部X线片。

结果

仅1例患者在术后第10天出现膈下气体（高度>20 mm），伴有内脏穿孔。8例患者的11张片子上观察到正常膈下气腹（13%）。在术后0至5天的47张片子中有7张（15%）观察到少量气体（高度<15 mm），在术后6至10天的25张片子中有4张（18%）观察到少量气体，但术后10天后的24张片子中均未观察到。