Salim Faisal, Ramesh Vijayaraghavan
Department of Anaesthetics, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, United Kingdom.
J Coll Physicians Surg Pak. 2009 May;19(5):325-6.
Tension gastrothorax is herniation of abdominal viscera, stomach in particular, into the thorax that can simulate acute tension pneumothorax. This case reports an acute condition in which percutaneous needle decompression of the distended stomach, through the chest wall, allowed rapid decompression of the tension gastrothorax. After thoracotomy and repair of the ruptured diaphragm, the patient developed re-expansion pulmonary edema that was managed by differential lung ventilation.
张力性胃胸是指腹腔脏器，尤其是胃，疝入胸腔，可模拟急性张力性气胸。本病例报告了一种急性情况，即通过胸壁对扩张的胃进行经皮穿刺减压，可使张力性胃胸迅速减压。开胸手术及修复破裂的膈肌后，患者发生了复张性肺水肿，通过肺区别通气进行处理。
