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心肺复苏术后气腹:一个治疗困境。

Pneumoperitoneum after cardiopulmonary resuscitation: a therapeutic dilemma.

作者信息

Clinch S L, Thompson J S, Edney J A

出版信息

J Trauma. 1983 May;23(5):428-30. doi: 10.1097/00005373-198305000-00013.

DOI:10.1097/00005373-198305000-00013
PMID:6854681
Abstract

We report a patient who developed pneumoperitoneum after cardiopulmonary resuscitation. Ten cases have been reported in the literature. Despite the patient's serious condition, celiotomy was performed to rule out perforation of a hollow viscus and none was found. The likelihood of visceral perforation in this setting is high and despite increasing recognition of pneumoperitoneum that does not require surgical intervention, nonoperative management should not be entertained in this setting unless visceral perforation can be excluded.

摘要

我们报告了一名在心肺复苏后发生气腹的患者。文献中已报道了10例此类病例。尽管患者病情严重,但仍进行了剖腹探查以排除中空脏器穿孔,结果未发现穿孔。在此种情况下,内脏穿孔的可能性很高,尽管对无需手术干预的气腹的认识不断增加,但除非能排除内脏穿孔,否则在此种情况下不应考虑非手术治疗。

相似文献

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Pneumoperitoneum after cardiopulmonary resuscitation: a therapeutic dilemma.心肺复苏术后气腹:一个治疗困境。
J Trauma. 1983 May;23(5):428-30. doi: 10.1097/00005373-198305000-00013.
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Pneumoperitoneum as a complication of cardiopulmonary resuscitation.
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Value of pneumoperitoneum in the diagnosis of visceral perforation.气腹在诊断内脏穿孔中的价值。
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Pneumoperitoneum due to gastric perforation after cardiopulmonary resuscitation: case report.心肺复苏术后胃穿孔致气腹:病例报告
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Gastric rupture and massive pneumoperitoneum after bystander cardiopulmonary resuscitation.旁观者心肺复苏术后胃破裂及大量气腹
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Pneumoperitoneum--a rare complication of cardiopulmonary resuscitation.
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Unexplained pneumoperitoneum in association with basic cardiopulmonary resuscitation efforts.
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Airway management: induced tension pneumoperitoneum.气道管理:诱导性张力性气腹
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[Radiologic pneumoperitoneum without perforation of a hollow viscus].[无中空脏器穿孔的放射学气腹]
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Tension pneumoperitoneum after cardiopulmonary resuscitation.心肺复苏术后张力性气腹
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引用本文的文献

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Cardiopulmonary resuscitation (CPR) complications encountered in forensic autopsy cases.法医学解剖案例中遇到的心肺复苏术并发症。
BMC Emerg Med. 2019 Feb 28;19(1):23. doi: 10.1186/s12873-019-0234-5.
2
Spontaneous aseptic pneumoperitoneum.自发性无菌性气腹
Indian J Surg. 2009 Apr;71(2):95-7. doi: 10.1007/s12262-009-0025-4. Epub 2009 May 2.
3
Does pneumoperitoneum always require laparotomy? Report of six cases and review of the literature.气腹总是需要剖腹手术吗?6例报告及文献复习。
Pediatr Surg Int. 2005 Oct;21(10):819-24. doi: 10.1007/s00383-005-1489-3. Epub 2005 Oct 21.
4
Spontaneous pneumoperitoneum and other nonsurgical causes of intraperitoneal free gas.自发性气腹及其他非手术性腹腔游离气体原因
Postgrad Med J. 1997 Sep;73(863):531-7. doi: 10.1136/pgmj.73.863.531.