心肺复苏术后膈膜破裂和大量气腹

IF 0.8 4区 医学 Q4 EMERGENCY MEDICINE
Hyeongjung Lee, W. Sung
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引用次数: 1

摘要

引言:尽管心肺复苏是一种紧急的救生程序,但干预本身可能会造成严重且往往致命的伤害,膈肌破裂非常罕见。本报告描述了一名患者在长期心肺复苏后出现双侧气腹、左膈破裂和气腹。病例介绍:一名90岁的妇女经历了心脏骤停。49岁后恢复了自然循环 由旁观者、急救医疗服务提供者和急诊科工作人员进行心肺复苏的分钟数。影像学检查显示双侧气腹,左侧膈肌破裂,大量气腹。患者的监护人拒绝允许对膈肌破裂进行手术,尽管进行了胸部和腹部减压以及心脏骤停后的护理,患者还是死亡了。讨论和结论:心脏骤停患者恢复自主循环的程序可能会导致致命的心肺复苏相关损伤。提供心脏骤停后护理的临床医生应计划对这些医源性损伤的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diaphragmatic rupture and massive pneumoperitoneum after cardiopulmonary resuscitation
Introduction: Although cardiopulmonary resuscitation is an emergency life-saving procedure, the intervention itself can cause major and often fatal injuries, with diaphragmatic rupture being very rare. This report describes a patient who experienced bilateral pneumothoraces, left diaphragmatic rupture, and pneumoperitoneum after extended cardiopulmonary resuscitation. Case presentation: A 90-year-old woman experienced a cardiac arrest. Spontaneous circulation was restored after 49 min of cardiopulmonary resuscitation performed by a bystander, emergency medical service providers, and emergency department staff. Imaging showed bilateral pneumothoraces, left diaphragmatic rupture, and massive pneumoperitoneum. The patient’s guardian refused to permit surgery for the diaphragmatic rupture, and the patient died despite chest and abdominal decompression and post-cardiac arrest care. Discussion and conclusion: Procedures to restore spontaneous circulation in patients experiencing cardiac arrest may result in fatal cardiopulmonary resuscitation–related injuries. Clinicians providing post-cardiac arrest care should plan management for these iatrogenic injuries.
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来源期刊
CiteScore
1.50
自引率
16.70%
发文量
26
审稿时长
6-12 weeks
期刊介绍: The Hong Kong Journal of Emergency Medicine is a peer-reviewed, open access journal which focusses on all aspects of clinical practice and emergency medicine research in the hospital and pre-hospital setting.
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