Department of Critical Care Medicine, Antwerp University Hospital, University of Antwerp, Wilrijkstraat 10, B-2650 Edegem, Belgium.
Resuscitation. 2010 Mar;81(3):272-80. doi: 10.1016/j.resuscitation.2009.11.023. Epub 2010 Jan 12.
The risk of complications of cardiopulmonary resuscitation (CPR) does not outweigh the benefit of a successful restoration of a spontaneous circulation. Despite the frequent occurrence of gastric distension (caused by air entering the stomach because of too forceful and/or too quick rescue breathing), there are few reports of massive gastric distension causing gastric rupture and pneumoperitoneum after CPR. We reviewed all 67 case reports of gastric perforation that have been reported after CPR. Although uncommon, this review stresses the need to consider this potentially lethal complication after initial successful resuscitation.
心肺复苏术（CPR）的并发症风险并不大于成功恢复自主循环的益处。尽管经常发生胃扩张（由于过度用力和/或过快的抢救性呼吸导致空气进入胃部而引起），但很少有报道称 CPR 后胃扩张导致胃破裂和气腹。我们复习了所有 67 例 CPR 后胃穿孔的病例报告。虽然这种情况并不常见，但本次复习强调了在初始复苏成功后需要考虑这种潜在致命并发症的可能性。
