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气胸导致气腹：手术干预的作用

Pneumothorax Causing Pneumoperitoneum: Role of Surgical Intervention.

作者信息

Duarte Fernanda, Wentling Jessica, Anjum Humayun, Varon Joseph, Surani Salim

机构信息

Universidad del Valle de México, Hermosillo, SON, Mexico.

Christus Spohn Hospital, Memorial, Corpus Christi, TX, USA.

出版信息

Case Rep Crit Care. 2016;2016:4146080. doi: 10.1155/2016/4146080. Epub 2016 Aug 30.

DOI:10.1155/2016/4146080
PMID:27656300
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5021469/
Abstract

The most common cause of a pneumoperitoneum is a perforation of a hollow viscus and the treatment is an exploratory laparotomy; nevertheless, not all pneumoperitoneums are due to a perforation and not all of them need surgical intervention. We hereby present a case of pneumoperitoneum due to a diaphragmatic defect, which allowed air from a pneumothorax to escape through the diaphragmatic hernia into the abdominal cavity.

摘要

气腹最常见的原因是中空脏器穿孔，治疗方法是剖腹探查术；然而，并非所有气腹都是由穿孔引起的，也并非所有气腹都需要手术干预。我们在此介绍一例因膈肌缺损导致的气腹病例，该缺损使得气胸的气体通过膈疝进入腹腔。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a7d/5021469/4e70670e192a/CRICC2016-4146080.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a7d/5021469/613237875a75/CRICC2016-4146080.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a7d/5021469/5cfe824fca10/CRICC2016-4146080.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a7d/5021469/4e70670e192a/CRICC2016-4146080.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a7d/5021469/613237875a75/CRICC2016-4146080.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a7d/5021469/5cfe824fca10/CRICC2016-4146080.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a7d/5021469/4e70670e192a/CRICC2016-4146080.003.jpg

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Non-surgical pneumoperitoneum associated with mechanical ventilation.与机械通气相关的非手术性气腹
Acute Med Surg. 2014 Jun 26;1(4):254-255. doi: 10.1002/ams2.52. eCollection 2014 Oct.
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Gastrointestinal perforation: ultrasonographic diagnosis.胃肠道穿孔：超声诊断
Crit Ultrasound J. 2013 Jul 15;5 Suppl 1(Suppl 1):S4. doi: 10.1186/2036-7902-5-S1-S4.
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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
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Pneumoperitoneum: a review of nonsurgical causes.气腹：非手术原因综述
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