Zentar Marie-Sophie, Berteloot Laureline, Khen Dunlop Naziha, Bustarret Olivier, Pigneur Bénédicte, Cheron Gérard, Angoulvant François
From the Departments of Pediatric Emergency.
Radiology, and.
Pediatr Emerg Care. 2018 Jun;34(6):e102-e103. doi: 10.1097/PEC.0000000000001471.
Tension pneumoperitoneum is a relatively rare occurrence in the pediatric population. However, tension pneumoperitoneum is associated with significant morbidity and mortality if it is not promptly diagnosed and treated. A 5-year-old girl was admitted to emergency department with abdominal pain. She was in shock, and the radiograph film of the abdomen revealed a voluminous tension pneumoperitoneum. Aggressive fluid challenges were performed in intensive care followed by urgent laparotomy. Primary abdominal compartment due to trapped gas caused a decreased venous return and visceral perfusion. In the absence of hemodynamic improvement after vascular filling, needle decompression was performed before surgery.
张力性气腹在儿科人群中相对少见。然而，如果不及时诊断和治疗，张力性气腹会导致显著的发病率和死亡率。一名5岁女孩因腹痛被送往急诊科。她处于休克状态，腹部X光片显示大量张力性气腹。在重症监护室进行了积极的液体复苏，随后紧急进行剖腹手术。由于气体被困导致的原发性腹腔间隔综合征使静脉回流和内脏灌注减少。在进行液体复苏后血流动力学无改善的情况下，在手术前进行了针穿刺减压。
