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致命性胃出血:心肺复苏的一种并发症。

Fatal gastric hemorrhage: a complication of cardiorespiratory resuscitation.

作者信息

Aguilar J C

出版信息

J Trauma. 1981 Jul;21(7):573-5.

PMID:6973026
Abstract

Clinical courses of 16 patients with documented gastric trauma resulting from cardiopulmonary resuscitation were reviewed from seven published manuscripts (1-7). Three patients with gastric rupture survived the therapy (2, 3, 7), two ultimately died of their original disease, and one recovered completely (2). Of the 15 who died, the gastric trauma contributed very little to the fatal outcome of the patients. The case reported here suffered death from gastric mucosal lacerations caused by cardiopulmonary resuscitation resulting in a fatal massive gastric hemorrhage.

摘要

我们从7篇已发表的手稿(1 - 7)中回顾了16例有记录的因心肺复苏导致胃创伤患者的临床病程。3例胃破裂患者经治疗后存活(2, 3, 7),2例最终死于原发病,1例完全康复(2)。在15例死亡患者中,胃创伤对患者的致命结局影响甚微。此处报告的病例死于心肺复苏导致的胃黏膜撕裂,进而引发致命的大量胃出血。

相似文献

1
Fatal gastric hemorrhage: a complication of cardiorespiratory resuscitation.致命性胃出血:心肺复苏的一种并发症。
J Trauma. 1981 Jul;21(7):573-5.
2
Gastroesophageal lacerations. A fatal complication of closed chest cardiopulmonary resuscitation.胃食管撕裂伤。闭合性胸外心肺复苏的一种致命并发症。
Chest. 1983 Mar;83(3):571-2. doi: 10.1378/chest.83.3.571.
3
Gastric trauma following cardiopulmonary resuscitation.心肺复苏后的胃损伤。
Med Sci Law. 1990 Apr;30(2):149-52. doi: 10.1177/002580249003000213.
4
Gastric rupture--an uncommon complication after successful cardiopulmonary resuscitation: report of two cases.
Resuscitation. 1997 Oct;35(2):175-8. doi: 10.1016/s0300-9572(97)00050-6.
5
Gastric mucosal tears and wall micro perforations after cardiopulmonary resuscitation in a drowning case.一例溺水病例心肺复苏术后的胃黏膜撕裂和胃壁微小穿孔
J Forensic Leg Med. 2009 Jan;16(1):24-6. doi: 10.1016/j.jflm.2008.05.010. Epub 2008 Aug 9.
6
[Diagnostic image (316). A woman who died despite resuscitation. Pulmonary bone marrow embolism secondary to a sternum fracture].[诊断影像(316)。一名虽经复苏仍死亡的女性。胸骨骨折继发肺骨髓栓塞]
Ned Tijdschr Geneeskd. 2007 Mar 24;151(12):695.
7
Osteomyelitis in fractured sternum after cardiopulmonary resuscitation.
N Engl J Med. 1979 Jul 12;301(2):108-9. doi: 10.1056/nejm197907123010217.
8
Hemorrhage from gastric mucosal tears complicating cardiopulmonary resuscitation.心肺复苏并发胃黏膜撕裂出血。
Ann Emerg Med. 1984 Apr;13(4):230-3. doi: 10.1016/s0196-0644(84)80468-0.
9
[Intraoperative re-rupture of gastric varix immediately after the start of an operation in a patient with liver cirrhosis].[肝硬化患者手术开始后立即发生的胃静脉曲张术中再破裂]
Masui. 1997 Jul;46(7):983-6.
10
Abdominal closure using nonabsorbable mesh after massive resuscitation prevents abdominal compartment syndrome and gastrointestinal fistula.大量液体复苏后使用不可吸收补片关闭腹腔可预防腹腔间隔室综合征和胃肠瘘。
Am Surg. 1999 Aug;65(8):720-4; discussion 724-5.

引用本文的文献

1
Gastric mucosal laceration: a complication of manual bag-valve-mask ventilation.胃黏膜撕裂伤:手动球囊面罩通气的一种并发症。
Clin J Gastroenterol. 2008 Jun;1(2):56-58. doi: 10.1007/s12328-008-0008-1. Epub 2008 May 16.