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

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。

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