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題名 | Tension Pneumoperitoneum Following Instrumental Performation of an Obstructed Esophagus in an Infant=器械性破裂發生於嬰兒阻塞性食道而導致緊張性氣腹 |
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作者姓名(中文) | 駱至誠; 江文山; 趙舜卿; 吳宛昭; | 書刊名 | 長庚醫學 |
卷期 | 26:10 2003.10[民92.10] |
頁次 | 頁768-771 |
分類號 | 417.6241 |
關鍵詞 | 緊張性氣腹; 食道破裂; Pneumoperitoneum; Esophageal perforation; |
語文 | 英文(English) |
中文摘要 | 四個月的嬰孩因食道閉鎖併食道氣管廔管,出生時在外院接受修復手術。術後因餵食不佳及復發性肺炎而住進我們醫院。食道攝影顯示嚴重的的食道狹窄,在麻醉下接受食道鏡的擴張術,術中發生突發性的呼吸窘迫併腹部腫脹。X光檢查顯示嚴重的氣腹。嬰兒胸腔內的食道破裂而導致緊張性氣腹的臨床表現非常罕見。我們報告一例食道狹窄作食道擴張時破裂而併發緊張性氣腹而且治療成功的病例。 |
英文摘要 | A 4-month-old infant was diagnosed with esophageal atresia and tracheoesophageal fistula he was admitted to our hospital because of progressive poor findings and repeated aspiration pneumonia after surgical repair. An esophagogram demonstrated severe esophageal stricture. Flexible endoscopic dilatation was performed under general anesthesia, but sudden onset respiratory distress and progressive abdominal distention were noted during the procedure. Abdominal radiographic study revealed severe pneumoperitoneum. Tension pneumoperitoneum after perforation of the obstructed esophagus is extremely rare but life threatening. We herein report our experience with the successful management of this complication in an infant. . |
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