心肺蘇生に起因した急性胃破裂の1例

  • 村上 慶洋
    王子総合病院外科 北海道大学大学院癌医学専攻癌制御医学講座腫瘍外科学分野
  • 岩井 和浩
    王子総合病院外科
  • 高田 実
    王子総合病院外科 北海道大学大学院癌医学専攻癌制御医学講座腫瘍外科学分野
  • 水戸 康文
    王子総合病院外科
  • 高橋 透
    王子総合病院外科
  • 加藤 紘之
    北海道大学大学院癌医学専攻癌制御医学講座腫瘍外科学分野

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  • A case of acute rapture of the stomach caused by cardiopulmonaly resuscitation.

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We experienced a case of acute rapture of the stomach which is thought to be rare as a complication of cardiopulmonary resuscitation.<br> A 70 year old woman was brought into the hospital by ambulance. On arrival, cardioplumonaly resuscitation was performed because her cardiopulmonaly function ceased. Respirations and cardiac pulsations resumed. CT scan of the head indicated subarachnoid hemorrhage. Thereafter, bleeding from a gastric tube and prominent free air were confirmed on an abdominal CT scan. Acute gastric rapture due to cardiopulmonary resuscitation was diagnosed and an emergency operation was performed. Upon lapalotomy, about 5cm sized perforation running in the upper body of the stomach a little to the posterior wall was confirmed. Suture of the perforated portion and massive lavage drainage were performed, followed by clipping of the aneurysm of the right middle cerebral artery. The postoperative course was univentful and the patient was discharged from the hospital on 58th hospital day.<br> At present when cardiopulmonary resuscitation is coming into relatively general use, we have to understand its complications in that this case is thought to be valuable. We report this case together with some bibliographical comments.

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