TENSION PNEUMOPERITONEUM AFTER CARDIOPULMONARY-RESUSCITATION

被引：18

作者：

CAMERON, PA ^{[1
]}

ROSENGARTEN, PL ^{[1
]}

JOHNSON, WR ^{[1
]}

DZIUKAS, L ^{[1
]}

机构：

[1] ALFRED HOSP,DEPT SURG,PRAHRAN,VIC 3181,AUSTRALIA

来源：

MEDICAL JOURNAL OF AUSTRALIA | 1991年 / 155卷 / 01期

关键词：

D O I：

10.5694/j.1326-5377.1991.tb116382.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: To increase awareness of the unsual complication of pneumoperitoneum after cardiopulmonary resuscitation. Clinical features: A 57-year-old male farmer with a history of chronic renal failure and heart disease, as well as severe oesophageal reflux for which fundoplication had been performed, developed a tension pneumoperitoneum after cardiopulmonary resuscitation. This resulted in lower limb cyanosis and an erection, a previously unreported complication. Intervention and outcome: The tension was relieved by uncapping a peritoneal dialysis catheter that was in situ. The cyanosis and erection resolved immediately, suggesting that the tension pneumoperitoneum had caused significant venous obstruction. A 3 cm defect in the posterior wall of the stomach was repaired. Conclusion: The likelihood of pneumoperitoneum is reduced if standard guidelines for cardiopulmonary resuscitation are adhered to.

引用

页码：44 / 47

页数：4

共 29 条

[1]

ANTHONY PP, 1969, BRIT HEART J, V31, P72

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