How to manage tension gastrothorax: a case report of tension gastrothorax with multiple trauma due to traumatic diaphragmatic rupture
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- 作者：Naofumi Bunya ; Keigo Sawamoto ; Shuji Uemura…
- 关键词：Tension gastrothorax ; Obstructive shock ; Resuscitative thoracotomy ; REBOA
- 刊名：International Journal of Emergency Medicine
- 出版年：2017
- 出版时间：December 2017
- 年：2017
- 卷：10
- 期：1
- 全文大小：472KB
- 刊物主题：Emergency Medicine; Pediatrics; Internal Medicine; Angiology; Cardiology;
- 出版者：Springer Berlin Heidelberg
- ISSN：1865-1380
- 卷排序：10
文摘
BackgroundTension gastrothorax is a kind of obstructive shock with prolapse and distention of the stomach into the thoracic cavity. Progressive gastric distension leads to mediastinal shift, reduced venous return, decreased cardiac output, and ultimately cardiac arrest. Therefore, it is crucial to decompress the stomach distension for the initial resuscitation of tension gastrothorax.