一名潜水员因胃肠道气压伤导致膈肌破裂。
Diaphragmatic rupture resulting from gastrointestinal barotrauma in a scuba diver.
作者信息
Hayden J D, Davies J B, Martin I G
机构信息
Division of Surgery, Centre for Digestive Diseases, The General Infirmary at Leeds.
出版信息
Br J Sports Med. 1998 Mar;32(1):75-6. doi: 10.1136/bjsm.32.1.75.
Abstract
A fit young man sustained a ruptured diaphragm during a recreational scuba dive three months after undergoing an uncomplicated laparoscopic Nissen fundoplication for gastro-oesophageal reflux disease. It is proposed that this rare occurrence was attributable to gastrointestinal barotrauma. The injury was treated by laparotomy, mobilisation of herniated abdominal viscera back into the abdomen, repair of the crura and gastropexy. He made a full postoperative recovery. It is concluded that scuba diving should be avoided in patients who have undergone fundoplication.
摘要
一名身体健康的年轻男子在因胃食管反流病接受简单的腹腔镜尼氏胃底折叠术三个月后，于一次休闲水肺潜水时发生了膈肌破裂。据推测，这种罕见情况归因于胃肠道气压伤。通过剖腹手术、将疝入的腹腔脏器回纳至腹腔、修复膈肌脚和胃固定术对损伤进行了治疗。他术后完全康复。结论是，接受过胃底折叠术的患者应避免进行水肺潜水。
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本文引用的文献
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Laparoscopic Nissen fundoplication is an effective treatment for gastroesophageal reflux disease.腹腔镜下尼氏胃底折叠术是治疗胃食管反流病的一种有效方法。
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