Miller J S, Itani K M, Oza M D, Wall M J
Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
Ann Emerg Med. 1997 Sep;30(3):343-6. doi: 10.1016/s0196-0644(97)70173-2.
Gastric rupture is a rare complication of difficult airway management. In cases of vigorous mouth-to-mouth ventilation, bag-valve-mask ventilation, or esophageal intubation, gastric rupture and massive intraperitoneal free air may cause tension pneumoperitoneum. Hemodynamic instability necessitates immediate intervention, including needle decompression of the peritoneum followed by surgical exploration. We recently encountered two cases of gastric rupture with tension pneumoperitoneum that occurred after difficult endotracheal intubation. This report describes the presentation, treatment, and prevention of this entity.
胃破裂是困难气道管理中一种罕见的并发症。在进行强力口对口通气、袋阀面罩通气或食管插管的情况下，胃破裂和大量腹腔内游离气体可能导致张力性气腹。血流动力学不稳定需要立即干预，包括经针腹腔减压，随后进行手术探查。我们最近遇到了两例在困难气管插管后发生张力性气腹的胃破裂病例。本报告描述了该病症的表现、治疗及预防。
