Singh Sarvesh P, Sukesan Subin, Kiran Usha, Makhija Neeti
Department of Cardiac Anaesthesia, Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi 110029, India.
J Emerg Trauma Shock. 2011 Jan;4(1):128-9. doi: 10.4103/0974-2700.76821.
Gastrothorax, a rare complication following thoracoabdominal aortic aneurysm repair, is reported. The clinical features of a gastrothorax and tension pneumothorax are similar and thus, a gastrothorax can masquerade as a tension pneumothorax. The diagnosis is made by a high level of clinical suspicion, chest X-ray shows a distended stomach with air fluid levels and a computerised tomography is useful in assessing the diaphragm and establishing the positions of the various intra-abdominal organs. Also, the risk of an intercostal drainage tube placement and the role of nasogastric tube in avoiding the development of a tension gastrothorax is highlighted.
报道了胸腹主动脉瘤修复术后罕见的并发症——胃胸瘘。胃胸瘘和张力性气胸的临床特征相似，因此，胃胸瘘可能会伪装成张力性气胸。通过高度的临床怀疑做出诊断，胸部X线显示胃扩张并有气液平面，计算机断层扫描有助于评估膈肌并确定各种腹腔内器官的位置。此外，还强调了放置肋间引流管的风险以及鼻胃管在避免张力性胃胸瘘发生方面的作用。
