Ricard J, Boboyono J M, Postel J P, Collet L M, Canarelli J P
Ann Pediatr (Paris). 1989 Sep;36(7):479-81.
We report the case of a ten-year-old who sustained a barotrauma during resuscitation that caused rupture of the stomach. Ruptures of the stomach are infrequent occurrences in children. Most cases consist in a tear of the lesser curvature due to excessive pressures being used during face mask ventilation. Clinical features always include gradual development of a pneumoperitoneum with persistence of respiratory distress. The plain film of the abdomen confirms the diagnosis and immediate surgery is required. Various etiologies reported in the literature are reviewed. The need for caution when ventilating and use of age-appropriate equipment is emphasized. Rupture of the stomach should be considered in every patient who develops acute distension of the abdomen while undergoing resuscitation.
我们报告了一例10岁儿童在复苏过程中发生气压伤导致胃破裂的病例。儿童胃破裂并不常见。大多数病例是由于面罩通气时使用压力过大导致小弯侧撕裂。临床特征总是包括气腹逐渐发展并伴有呼吸窘迫持续存在。腹部平片可确诊,需要立即进行手术。本文回顾了文献中报道的各种病因。强调了通气时要谨慎并使用适合年龄的设备。对于复苏过程中出现急性腹胀的每一位患者,都应考虑胃破裂的可能。