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1
Spontaneous aseptic pneumoperitoneum.自发性无菌性气腹
Indian J Surg. 2009 Apr;71(2):95-7. doi: 10.1007/s12262-009-0025-4. Epub 2009 May 2.
2
Spontaneous pneumoperitoneum. A surgical dilemma.自发性气腹。一种外科难题。
Am Surg. 1991 Mar;57(3):151-6.
3
[Tension pneumoperitoneum as complication in a case of perioperative barotrauma].[围手术期气压伤病例中作为并发症的张力性气腹]
Rev Esp Anestesiol Reanim. 2000 Mar;47(3):130-3.
4
Nonsurgical causes of pneumoperitoneum.气腹的非手术原因。
West J Med. 1999 Jan;170(1):41-6.
5
A Case of Pneumomediastinum and Pneumoperitoneum with Concurrent Massive Subcutaneous Emphysema due to Repositioning of a Tracheostomy Tube.一例因气管切开管重新定位并发大量皮下气肿的纵隔气肿和气腹病例。
Cureus. 2019 Jan 14;11(1):e3881. doi: 10.7759/cureus.3881.
6
[Abdominal compartment syndrome by tension pneumoperitoneum secondary to barotrauma. Presentation case].[气压伤继发张力性气腹所致腹腔间隔室综合征。病例报告]
Cir Cir. 2015 Sep-Oct;83(5):429-32. doi: 10.1016/j.circir.2015.05.046. Epub 2015 Jul 6.
7
Pneumoperitoneum: a review of nonsurgical causes.气腹：非手术原因综述
Crit Care Med. 2000 Jul;28(7):2638-44. doi: 10.1097/00003246-200007000-00078.
8
Pneumoperitoneum as the presenting sign of pulmonary barotrauma during artificial ventilation.
Intensive Care Med. 1986;12(1):49-51. doi: 10.1007/BF00315373.
9
Spontaneous idiopathic pneumoperitoneum presenting as an acute abdomen: a case report.以急腹症表现的自发性特发性气腹：一例报告
J Med Case Rep. 2011 Feb 27;5:86. doi: 10.1186/1752-1947-5-86.
10
Unusual causes of spontaneous pneumoperitoneum.自发性气腹的罕见病因。
Surg Gynecol Obstet. 1982 Mar;154(3):417-20.

引用本文的文献

1
Idiopathic spontaneous pneumoperitoneum.特发性自发性气腹
Proc (Bayl Univ Med Cent). 2021 Dec 28;35(2):224-226. doi: 10.1080/08998280.2021.2013148. eCollection 2022.
2
Two similar cases of elderly women with moderate abdominal pain and pneumoperitoneum of unknown origin: a surgeon's successful conservative management.两例类似的老年女性病例，伴有中度腹痛和不明原因的气腹：外科医生成功的保守治疗。
BMJ Case Rep. 2016 May 26;2016:bcr2016215816. doi: 10.1136/bcr-2016-215816.

本文引用的文献

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The examination of patients with suspected perforated ulcer using a water-soluble contrast medium.
Am J Roentgenol Radium Ther Nucl Med. 1961 Jul;86:37-49.
2
Nonsurgical pneumoperitoneum: a case report and a review.非手术性气腹：一例病例报告及文献综述
Am Surg. 1998 Apr;64(4):313-22.
3
Chronic aseptic spontaneous pneumoperitoneum without a serious complication in 8 years.8年来慢性无菌性自发性气腹未出现严重并发症。
Arch Surg. 1995 May;130(5):557-9. doi: 10.1001/archsurg.1995.01430050107019.
4
Pneumoperitoneum after cardiopulmonary resuscitation: a therapeutic dilemma.心肺复苏术后气腹：一个治疗困境。
J Trauma. 1983 May;23(5):428-30. doi: 10.1097/00005373-198305000-00013.
5
Pneumoperitoneum secondary to pulmonary air leak.继发于肺漏气的气腹
J Pediatr. 1972 Oct;81(4):797-800. doi: 10.1016/s0022-3476(72)80109-4.
6
Pneumoperitoneum and its association with ruptured abdominal viscus.气腹及其与腹部脏器破裂的关联。
Arch Surg. 1988 Jun;123(6):709-12. doi: 10.1001/archsurg.1988.01400300051008.
7
Perforation and obstruction of the gastrointestinal tract. Assessment by conventional radiology.胃肠道穿孔与梗阻。传统放射学评估。
Radiol Clin North Am. 1992 Mar;30(2):405-26.
8
Spontaneous pneumoperitoneum without peritonitis.无腹膜炎的自发性气腹
Int Surg. 1992 Jul-Sep;77(3):219-23.
9
Pneumoperitoneum complicating mechanical ventilator therapy.气腹并发机械通气治疗
Arch Surg. 1977 Jun;112(6):723-6. doi: 10.1001/archsurg.1977.01370060055008.

自发性无菌性气腹

Spontaneous aseptic pneumoperitoneum.

作者信息

Sreevathsa M R

机构信息

Department of General Surgery, M. S. Ramaiah Medical College and Teaching Hospital, Bangalore, 560 054 India.

出版信息

Indian J Surg. 2009 Apr;71(2):95-7. doi: 10.1007/s12262-009-0025-4. Epub 2009 May 2.

DOI:10.1007/s12262-009-0025-4
PMID:23133124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3452618/
Abstract

Pneumoperitoneum indicates the need for urgent laparotomy. But under certain clinical situations like, patient on ventilatory support should arouse the suspicion of supradiaphragmatic source of pneumoperitoneum. Supradiaphragmatic causes account for 10%. This article describes two patients, both on ventilatory support in the intensive care unit. Failure to recognize spontaneous aseptic-pneumoperitoneum can result in unnecessary laparotomy with its risks. Hence under relevant circumstances, non-surgical causes of pneumopreitoneum should be excluded.

摘要

气腹提示需要紧急剖腹手术。但在某些临床情况下，如接受通气支持的患者，应怀疑气腹的膈上来源。膈上原因占10%。本文描述了两名在重症监护病房接受通气支持的患者。未能识别自发性无菌性气腹可能导致不必要的剖腹手术及其风险。因此，在相关情况下，应排除气腹的非手术原因。