Ohguro S, Sumita S, Miyazawa F, Imaizumi H, Namba H, Tsukamoto M, Ujike Y, Kimura H, Kobayashi K, Yoshida M
Masui. 1989 Aug;38(8):1072-5.
The authors present a rare case of a 58-year-old female who had cardiac arrest due to massive abdominal hemorrhage because of the rupture of pancreatic pseudocyst during an emergency operation. We succeeded in resuscitation by performing emergency thoracotomy and internal cardiac compression. Thoracic aortic cross clamping was employed to control bleeding, and we could perform the operation. She recovered without any neurological deficits. Thoracic descending aortic cross clamping should be always considered both before and during operation for the control of massive abdominal hemorrhage to avoid circulatory collapse.
作者报告了一例罕见病例，一名58岁女性在急诊手术期间因胰腺假性囊肿破裂导致大量腹腔出血而发生心脏骤停。我们通过急诊开胸和心脏内按压成功复苏。采用胸主动脉交叉钳夹控制出血，从而得以完成手术。她康复后没有任何神经功能缺损。为避免循环衰竭，在手术前和手术过程中均应始终考虑采用胸降主动脉交叉钳夹来控制大量腹腔出血。
