Takayama Shoryu, Takura Kohei
Surgery, Nagoya Tokushukai General Hospital, Nagoya, JPN.
Cureus. 2021 Aug 7;13(8):e16975. doi: 10.7759/cureus.16975. eCollection 2021 Aug.
An 84-year-old man taking home oxygen therapy (HOT) for chronic obstructive pulmonary disease (COPD) was brought to our emergency department because of cardiopulmonary arrest after connecting an oxygen cylinder to a urinary catheter at home. On physical examination, subcutaneous emphysema and abdominal distension were noted. The oxygen stored in the abdominal cavity seemed to induce abdominal compartment syndrome, so we decided to drain the oxygen. Advanced cardiac life support protocol and drainage were performed, followed by the return of spontaneous circulation. The number of patients on HOT for COPD is expected to increase because COPD is a common disease globally. This patient had a urinary catheter due to urinary retention caused by benign prostatic hyperplasia (BPH). BPH is a benign tumor of the prostate gland that is the most common cause of dysuria in older men. COPD and BPH are very common diseases, so similar medical accidents may occur. We report this case to prevent a recurrence.
一名因慢性阻塞性肺疾病(COPD)接受家庭氧疗(HOT)的84岁男性,在家中将氧气瓶连接到导尿管后发生心肺骤停,被送往我们的急诊科。体格检查发现皮下气肿和腹胀。腹腔内储存的氧气似乎诱发了腹腔间隔室综合征,因此我们决定排出氧气。实施了高级心脏生命支持方案并进行了引流,随后恢复了自主循环。由于COPD是全球常见疾病,预计接受HOT治疗的COPD患者数量将会增加。该患者因良性前列腺增生(BPH)导致尿潴留而留置了导尿管。BPH是前列腺的一种良性肿瘤,是老年男性排尿困难最常见的原因。COPD和BPH都是非常常见的疾病,因此可能会发生类似的医疗事故。我们报告此病例以防止复发。