Gastric rupture with tension pneumoperitoneum: A complication of difficult endotracheal intubation

被引：22
|
作者：
Miller, JS [1 ]
Itani, KMF [1 ]
Oza, MD [1 ]
Wall, MJ [1 ]
机构：
[1] VET AFFAIRS MED CTR,DEPT SURG 112A,BAYLOR COLL MED,HOUSTON,TX 77030
来源：
ANNALS OF EMERGENCY MEDICINE | 1997年 / 30卷 / 03期
关键词：
D O I：
10.1016/S0196-0644(97)70173-2
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
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.
引用
收藏
页码：343 / 346
页数：4
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