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一例溺水病例心肺复苏术后的胃黏膜撕裂和胃壁微小穿孔

Gastric mucosal tears and wall micro perforations after cardiopulmonary resuscitation in a drowning case.

作者信息

Da Broi Ugo, Moreschi Carlo, Castellani Marta, Antonella Bonetti

机构信息

Department of Medical Morphological Research, Section of Forensic Medicine, University of Udine, Italy.

出版信息

J Forensic Leg Med. 2009 Jan;16(1):24-6. doi: 10.1016/j.jflm.2008.05.010. Epub 2008 Aug 9.

DOI:10.1016/j.jflm.2008.05.010
PMID:19061845
Abstract

A fifty year-old woman died after drowning in a swimming-pool. Rescue and ambulance paramedic teams started resuscitation attempts followed by a medical care helicopter team. Acute haematemesis, mucosal tears and gastric micro perforations occurred, due to the cardiorespiratory resuscitation manoeuvres. Death occurred seven days later due to the cerebral anoxia and multiorgan failure. Forensic investigations excluded possible malpractice during external cardiac massage as responsible for the woman's death, while Judicial Authority considered the death as the consequence of the delayed intervention of the swimming-pool rescue team.

摘要

一名50岁女性在游泳池溺水后死亡。救援和救护医护团队开始进行复苏尝试,随后医疗救护直升机团队也参与进来。由于心肺复苏操作,出现了急性呕血、黏膜撕裂和胃微穿孔。七天后,该女性因脑缺氧和多器官衰竭死亡。法医调查排除了胸外心脏按压过程中存在可能导致该女性死亡的医疗失误,而司法当局认为其死亡是游泳池救援团队干预延迟的后果。

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Gastric mucosal tears and wall micro perforations after cardiopulmonary resuscitation in a drowning case.一例溺水病例心肺复苏术后的胃黏膜撕裂和胃壁微小穿孔
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