急性胸腔内胃扭转致心跳骤停经皮胃造口术治疗

Cardiac Arrest Caused by an Acute Intrathoracic Gastric Volvulus Treated With Percutaneous Gastrostomy.

机构信息

Department of Emergency Medicine, University Medical Center Groningen, Groningen,the Netherlands; Kent, Surrey and Sussex Air Ambulance Trust, Redhill, Surrey, United Kingdom.

Department of Surgery, University Medical Center Groningen, Groningen,the Netherlands.

出版信息

Ann Emerg Med. 2021 Feb;77(2):249-252. doi: 10.1016/j.annemergmed.2020.07.028. Epub 2020 Sep 17.

DOI:10.1016/j.annemergmed.2020.07.028

PMID:32950281

Abstract

During cardiopulmonary resuscitation, one of the first priorities after establishing basic and advanced life support is to identify the cause of the arrest. We present a rare case of cardiac arrest due to a decreased venous return from mediastinal shift caused by a paraesophageal hernia with an incarcerated thoracic gastric volvulus, which was treated by percutaneous gastrostomy.

摘要

在心肺复苏期间，在建立基本和高级生命支持后，首要任务之一是确定骤停的原因。我们报告了一例罕见的因食管裂孔疝伴嵌顿性胸胃扭转导致纵隔移位引起静脉回流减少而引起的心脏骤停病例，该病例通过经皮胃造口术进行治疗。