Schvadron E, Moses Y, Weissberg D
Department of Surgery, Tel Aviv University, Sackler School of Medicine, Israel.
Can J Surg. 1996 Dec;39(6):487-9.
Rupture of the stomach complicating resuscitative measures is usually fatal. A 74-year-old man who suffered a myocardial infarction and cardiac arrest had perforation of the stomach when the esophagus was inadvertently intubated, ventilating the stomach. Laparotomy was performed and the gastric perforation sutured. In spite of the extensive trauma, the patient, incredibly, recovered. Although very few cases have been reported in which the esophagus has inadvertently been intubated resulting in gastric perforation, this is a potential possibility and should be borne in mind when intubation is followed by abdominal distension, rigidity and tenderness.
胃破裂并发复苏措施通常是致命的。一名74岁男性发生心肌梗死和心脏骤停，在无意中将食管插管并对胃进行通气时发生了胃穿孔。进行了剖腹手术并缝合了胃穿孔。尽管创伤广泛，但令人难以置信的是，患者康复了。虽然很少有报道称无意中将食管插管导致胃穿孔的病例，但这是一种潜在的可能性，当插管后出现腹胀、僵硬和压痛时应予以考虑。
