von Matthey F, Braun K F, Hanschen M, Pohlig F, Schubert E C, Matevossian E, Hoppmann P, Kanz K-G, Biberthaler P
Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar der Technischen Universität München, Ismaningerstraße 22, 81675, München, Deutschland.
Institut für diagnostische und interventionelle Radiologie, Klinikum rechts der Isar der Technischen Universität München, München, Deutschland.
Unfallchirurg. 2016 Jan;119(1):69-73. doi: 10.1007/s00113-015-0045-4.
We report the case of a 51-year-old male patient who sustained a liver rupture following mechanical cardiopulmonary resuscitation (CPR) with the LUCAS® system. The patient was under anticoagulation and developed an abdominal compartment syndrome. Although the use of mechanical CPR devices, such as the LUCAS® system and the load distributing band (Autopulse®), is becoming more common, there are specific complications described in the literature, which are associated with mechanical CPR. It is important to differentiate between general complications associated with CPR and those which can be attributed to the application of mechanical CPR devices. Using the example of the presented case, this article outlines and discusses these points based on the currently available literature. It should also be noted that mechanical CPR can act in a similar way to chest trauma and can necessitate an investigation with contrast enhanced computed tomography.
我们报告了一例51岁男性患者的病例，该患者在使用LUCAS®系统进行机械心肺复苏（CPR）后发生肝破裂。该患者正在接受抗凝治疗，并出现了腹腔间隔室综合征。尽管使用LUCAS®系统和负载分配带（Autopulse®）等机械CPR设备越来越普遍，但文献中描述了一些与机械CPR相关的特定并发症。区分与CPR相关的一般并发症和可归因于机械CPR设备应用的并发症很重要。以本病例为例，本文根据现有文献概述并讨论了这些要点。还应注意的是，机械CPR的作用方式可能与胸部创伤类似，可能需要进行对比增强计算机断层扫描检查。
