Joyce F S, Rasmussen T N
Department of Surgery C, Rigshospitalet, University of Copenhagen, Denmark.
Gastroenterology. 1989 Feb;96(2 Pt 1):530-1. doi: 10.1016/0016-5085(89)91582-5.
The first report of rupture of the stomach due to diathermy-elicited gas explosion during gastrotomy in a patient with intestinal ischemia resulting in obstruction and jejunal and gastric dilatation is presented. In the obstructed stomach or small bowel, a proliferation of hydrogen- and methane-producing bacteria can occur, leading to the accumulation of these combustible gases in explosive concentrations. In cases of gastrointestinal tract obstruction, the diathermy knife should not be used in entering the gastrointestinal lumen.
本文报道了一例因肠缺血导致肠梗阻及空肠和胃扩张的患者，在胃切开术中因透热引发气体爆炸致胃破裂的首例报告。在梗阻的胃或小肠中，可出现产氢和产甲烷细菌的增殖，导致这些可燃气体积聚至爆炸浓度。在胃肠道梗阻的情况下，不应使用透热刀进入胃肠道腔。
