Ingelbrecht S N, Kint P A M, Belderbos H N A
AMPHIA Ziekenhuis-locatie Molengracht, Postbus 90158, 4800 RK Breda, Nederland.
Acta Clin Belg. 2007 May-Jun;62(3):184-6. doi: 10.1179/acb.2007.030.
We describe a case of respiratory failure due to an acute tension gastrothorax in an elderly patient, secondary to an episode of vomiting. Initially the scout view was interpreted as a tension pneumothorax. Eventually the computed tomography (CT) of the thorax revealed a transdiaphragmatical herniation of the stomach and other visceral organs. An endoscopic desufflation procedure was performed, leading to improvement of the vital signs. Consequently, surgical repair was performed. It is important to be aware of specific radiologic signs, suggesting that the intrathoracic air collection is not caused by a pneumothorax. The initial treatment of a tension gastrothorax is nasogastric or orogastric decompression.
我们描述了一例老年患者因呕吐继发急性张力性胃胸导致呼吸衰竭的病例。最初，初步影像被解读为张力性气胸。最终，胸部计算机断层扫描（CT）显示胃和其他内脏器官经膈肌疝入胸腔。进行了内镜下排气 procedure，生命体征得到改善。因此，进行了手术修复。认识到提示胸腔内积气并非由气胸引起的特定放射学征象很重要。张力性胃胸的初始治疗是鼻胃管或口胃管减压。
