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院前插管失败后食管穿孔

Esophageal Perforation After Failed Prehospital Intubation.

作者信息

Pomeranz Kaila, Mohr Nicholas

机构信息

University of Iowa Hospitals and Clinics, Department of Emergency Medicine, Iowa City, Iowa.

出版信息

Clin Pract Cases Emerg Med. 2018 Jul 16;2(3):255-257. doi: 10.5811/cpcem.2018.6.38088. eCollection 2018 Aug.

DOI:10.5811/cpcem.2018.6.38088
PMID:30083646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6075498/
Abstract

Esophageal perforation is a rare condition with high rates of mortality if not recognized quickly. This is a case of a 67-year-old male with a self-inflicted gunshot wound to the head. He had one failed intubation attempt prior to arrival. On postmortem autopsy it was discovered that in addition to significant head trauma he also had an esophageal and gastric rupture.

摘要

食管穿孔是一种罕见的疾病，如果不能迅速识别，死亡率很高。这是一例67岁男性，头部有一处自伤枪伤。他在到达之前有一次插管尝试失败。尸检发现，除了严重的头部创伤外，他还存在食管和胃破裂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e2d/6075498/6c0c1a1f680b/cpcem-02-255-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e2d/6075498/6c0c1a1f680b/cpcem-02-255-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e2d/6075498/6c0c1a1f680b/cpcem-02-255-g001.jpg

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1
Esophageal Perforation After Failed Prehospital Intubation.院前插管失败后食管穿孔
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本文引用的文献

1
Management of Esophageal Perforation in Adults.成人食管穿孔的管理
Gastroenterology Res. 2010 Dec;3(6):235-244. doi: 10.4021/gr263w. Epub 2010 Nov 20.
2
An unusual case showing fatal rupture of a gastric ulcer or gastromalacia? The importance/role of histology for differential diagnosis.一个显示胃溃疡致命性破裂或胃软化的罕见病例？组织学在鉴别诊断中的重要性/作用。
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3
Esophageal perforation: diagnostic work-up and clinical decision-making in the first 24 hours.
食管穿孔：24 小时内的诊断方法和临床决策。
Scand J Trauma Resusc Emerg Med. 2011 Oct 30;19:66. doi: 10.1186/1757-7241-19-66.
4
Postmortem gastric perforation (gastromalacia) mimicking abusive injury in sudden unexplained infant death.尸检胃穿孔（胃壁软化）模拟虐待性损伤导致突发性不明原因婴儿死亡。
Pediatr Radiol. 2011 Dec;41(12):1595-7. doi: 10.1007/s00247-011-2061-z. Epub 2011 May 24.
5
Esophageal perforation: life threatening complication of endotracheal intubation.食管穿孔：气管插管危及生命的并发症。
Eur J Cardiothorac Surg. 2001 Jul;20(1):7-10; discussion 10-1. doi: 10.1016/s1010-7940(01)00766-7.
6
Traumatic esophageal perforation resulting from endotracheal intubation.气管插管导致的创伤性食管穿孔。
Anesth Analg. 1998 Sep;87(3):730-1. doi: 10.1097/00000539-199809000-00047.
7
Gastric rupture with tension pneumoperitoneum: a complication of difficult endotracheal intubation.胃破裂伴张力性气腹：困难气管插管的一种并发症。
Ann Emerg Med. 1997 Sep;30(3):343-6. doi: 10.1016/s0196-0644(97)70173-2.
8
Gastric rupture complicating inadvertent intubation of the esophagus.胃破裂并发意外食管插管。
Can J Surg. 1996 Dec;39(6):487-9.