Core Surgical Trainee, London Deanery, London, UK.
J Pediatr Surg. 2013 Jul;48(7):1613-7. doi: 10.1016/j.jpedsurg.2013.05.066.
Tension gastrothorax is a life-threatening condition and presents dramatically. It develops when the stomach herniates through a diaphragmatic defect into the thorax and distends with gas and/or fluid causing mediastinal shift. It is commonly misdiagnosed as tension pneumothorax which results in significant morbidity and mortality. In this article we report our experience of three cases with a spectrum of aetiology and a comprehensive literature review of tension gastrothorax in children. We propose an algorithm for the management of tension gastrothorax.
张力性胃胸是一种危及生命的病症，表现明显。当胃通过横膈膜缺陷疝入胸腔并充满气体和/或液体导致纵隔移位时，就会发生这种情况。它通常被误诊为张力性气胸，导致严重的发病率和死亡率。在本文中，我们报告了我们在一系列病因方面的经验，并对儿童张力性胃胸进行了全面的文献回顾。我们提出了一种张力性胃胸处理的算法。
