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成人胃自发性破裂

Spontaneous rupture of the stomach in an adult.

作者信息

LeDoux M S, Sillers M J, Atkins C P

机构信息

Department of Surgery, University of Alabama, School of Medicine, Birmingham 35294.

出版信息

South Med J. 1991 Mar;84(3):399-401. doi: 10.1097/00007611-199103000-00024.

DOI:10.1097/00007611-199103000-00024
PMID:2000535
Abstract

We have reported a case of spontaneous rupture of the stomach in an adult. Immediate onset of severe upper abdominal pain after overindulgence in food and drink along with radiographic evidence of pneumoperitoneum and the clinical findings of massive abdominal distention, epigastric tenderness, shock, and occasionally subcutaneous emphysema should suggest the possibility of gastric rupture. The treatment is simple, but mortality is high when surgical intervention is not rapid.

摘要

我们报告了一例成人胃自发性破裂的病例。暴饮暴食后立即出现严重上腹痛,同时伴有气腹的影像学证据以及腹部明显膨隆、上腹部压痛、休克,偶尔还有皮下气肿等临床表现,应提示胃破裂的可能性。治疗方法简单,但如果不迅速进行手术干预,死亡率很高。

相似文献

1
Spontaneous rupture of the stomach in an adult.成人胃自发性破裂
South Med J. 1991 Mar;84(3):399-401. doi: 10.1097/00007611-199103000-00024.
2
[Spontaneous rupture of the stomach in a newborn infant with E. coli sepsis (author's transl)].[一名患有大肠杆菌败血症的新生儿胃自发性破裂(作者译)]
Monatsschr Kinderheilkd. 1981 Dec;129(12):708-9.
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Surgical emphysema--an unusual finding in spontaneous neonatal gastric perforation.手术性气肿——新生儿自发性胃穿孔中的一种罕见发现。
Pediatr Surg Int. 2001 Mar;17(2-3):213-4. doi: 10.1007/s003830000460.
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Gastric rupture caused by acute gastric distention in non-neonatal children: clinical analysis of 3 cases.非新生儿期儿童急性胃扩张所致胃破裂:3例临床分析
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Referred shoulder pain preceding abdominal pain in a teenage girl with gastric perforation.一名患有胃穿孔的少女在腹痛前出现肩部牵涉痛。
Pediatr Emerg Care. 2006 Dec;22(12):807-9. doi: 10.1097/01.pec.0000248691.19305.ec.
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What is your diagnosis? Pneumoperitoneum with mild abdominal effusion, caused by rupture of the stomach.你的诊断是什么?胃破裂导致气腹伴轻度腹腔积液。
J Am Vet Med Assoc. 1998 Nov 15;213(10):1403-4.
7
[Idiopathic gastric perforation in neonates: about a case].[新生儿特发性胃穿孔:病例报告]
Pan Afr Med J. 2017 Jun 22;27:136. doi: 10.11604/pamj.2017.27.136.12036. eCollection 2017.
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Acute tension pneumothorax and tension pneumoperitoneum in a patient with anorexia nervosa.一名神经性厌食症患者出现急性张力性气胸和张力性气腹。
J Emerg Med. 2010 Apr;38(3):e13-6. doi: 10.1016/j.jemermed.2007.07.002. Epub 2008 Mar 28.
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[A rare cause of pneumoperitoneum].[气腹的罕见病因]
Chirurgia (Bucur). 2009 Mar-Apr;104(2):223-6.
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[A case of gastric lymphoepithelioma-like carcinoma presenting as panperitonitis by perforation of stomach].[一例胃淋巴上皮瘤样癌以胃穿孔致弥漫性腹膜炎为表现]
Korean J Gastroenterol. 2011 Oct 25;58(4):208-11. doi: 10.4166/kjg.2011.58.4.208.

引用本文的文献

1
Non-operative management of gastric perforation secondary to cardiopulmonary resuscitation.心肺复苏继发胃穿孔的非手术治疗
Intensive Care Med. 1994 Jul;20(6):442-3. doi: 10.1007/BF01710656.