Thomachot L, Arnal J M, Vialet R, Albanèse J, Martin C
Département d'anesthésie-réanimation, hôpital Nord, Marseille, France.
Ann Fr Anesth Reanim. 1998;17(5):369-71. doi: 10.1016/s0750-7658(98)80054-3.
We report the case of a 51-year-old patient admitted after a transient cardiorespiratory arrest. The abdominal CT scan revealed the presence of hepatic portal venous gas. At laparotomy, a diffuse mesenteric ischaemia was diagnosed. The patient died from multiple organ failure in the subsequent hours. Necrotic bowel is associated with hepatic portal venous gas in 50% of the cases and the current mortality rate is 85%. Gas originates either through intestinal transmucosal passage, either by intraportal bacterial gas production, or through both mechanisms.
我们报告了一例51岁患者，该患者在短暂的心搏呼吸骤停后入院。腹部CT扫描显示存在肝门静脉气体。剖腹手术时，诊断为弥漫性肠系膜缺血。患者在随后数小时内因多器官衰竭死亡。50%的病例中坏死肠段与肝门静脉气体有关，目前死亡率为85%。气体要么通过肠黏膜通道产生，要么通过门静脉内细菌产气，或者通过这两种机制产生。
