Esophageal rupture after Heimlich maneuver: a case report and literature review.

IF 3 4区 医学 Q3 Medicine Minerva gastroenterology Pub Date : 2023-12-01 Epub Date: 2023-09-11 DOI:10.23736/S2724-5985.23.03543-X
Antonio Basile, Rocco Spagnuolo, Vincenzo Cosco, Stefano Rodinò, Francesco Luzza, Ludovico Abenavoli
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Abstract

The Heimlich maneuver (HM) is lifesaving in a patient choked by a foreign body. It is safe and effective and does not require specific instruments. Nevertheless, rare severe complications have been reported, such as traumatic injury of the gastrointestinal tract, pneumomediastinum, rib fracture, diaphragm rupture, acute thrombosis of abdominal aortic aneurysm and mesenteric laceration. Abdominal injuries are the most common complications, especially esophageal and gastric wall rupture. This anatomic site is the most common location of organ injuries, in consequence of the main target of the force generated by the HM. Furthermore, the execution of HM by an untrained person may increase the risk for possible serious complications. Usually, HM complications are treated surgically, but based on clinical conditions, a conservative approach is possible. In our report, we described a case of esophageal rupture after a forceful HM, and we made a brief revision of literature concerning HM complications. We have also assessed the correlation between HM complications, abuse of non-steroidal anti-inflammatory drugs and the execution of the abdominal thrusts by untrained rescuers.

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海姆立克急救法后食管破裂:病例报告和文献综述。
海姆立克急救法(HM)可以挽救被异物窒息的病人的生命。海姆立克急救法安全有效,不需要特殊器械。不过,也有罕见的严重并发症报道,如胃肠道外伤、气胸、肋骨骨折、膈肌破裂、腹主动脉瘤急性血栓形成和肠系膜裂伤。腹部损伤是最常见的并发症,尤其是食管和胃壁破裂。这一解剖部位是器官损伤的最常见部位,因为它是 HM 所产生力量的主要目标。此外,由未经训练的人员实施 HM 可能会增加发生严重并发症的风险。通常情况下,HM 并发症会通过手术治疗,但根据临床情况,也有可能采取保守疗法。在我们的报告中,我们描述了一例强行 HM 后食管破裂的病例,并对有关 HM 并发症的文献进行了简要回顾。我们还评估了 HM 并发症、非类固醇抗炎药物的滥用和未经训练的施救者实施腹部推压之间的相关性。
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来源期刊
Minerva gastroenterology
Minerva gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
3.60
自引率
13.30%
发文量
0
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