Low L L, Ripple G R, Bruderer B P, Harrington G R
Critical Care Medicine Service, Walter Reed Army Medical Center, Washington, DC 98431-5000.
Intensive Care Med. 1994 Jul;20(6):442-3. doi: 10.1007/BF01710656.
We report the case of a 72-year-old male who suffered a cardiac arrest during an early positive treadmill stress test. After successful resuscitation the patient had evidence of a gastric perforation. Because of his hemodynamic stability, lack of peritoneal signs, and prohibitively high surgical risk, a non-operative management approach was successfully administered. Although not the standard approach to traumatic gastric perforation, this case is not unlike the management of peptic ulcer perforations. A non-operative approach should be considered as an option in selected patients.
我们报告了一例72岁男性患者，其在早期平板运动试验阳性期间发生心脏骤停。成功复苏后，患者有胃穿孔的迹象。由于其血流动力学稳定、无腹膜刺激征且手术风险极高，成功实施了非手术治疗方法。尽管这并非外伤性胃穿孔的标准治疗方法，但该病例与消化性溃疡穿孔的治疗并无不同。对于选定的患者，应考虑将非手术方法作为一种选择。
