Nonocclusive mesenteric ischemia in a toddler during hypothermia after cardiac arrest: a case report.

IF 1.9 Q2 EMERGENCY MEDICINE Clinical and Experimental Emergency Medicine Pub Date : 2024-09-06 DOI:10.15441/ceem.24.213
Koji Kanno, Kentaro Watanabe, Yu Kanokogi, Marina Tsujimura, Akira Yoshida, Tomoya Hanada, Yuji Yamagami, Yusuke Ito
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Abstract

While nonocclusive mesenteric ischemia (NOMI) has been reported in a significant percentage of adults who were resuscitated after cardiac arrest, it is rare in children. This report presents the first known Japanese case of pediatric NOMI after return of spontaneous circulation following cardiac arrest. A 16-month-old boy experienced cardiac arrest due to asphyxiation from foreign bodies in the airway. After receiving 10 doses of adrenaline, with a maximum arrest time of 95 minutes, the patient achieved return of spontaneous circulation. However, 40 hours after onset, the patient developed NOMI, resulting in refractory hypotensive shock with decreased blood pressure, distended abdomen, and increased intravesical pressure. The patient was successfully rescued with two laparotomies and was discharged. Although NOMI is uncommon in children, appropriate treatment can be lifesaving.

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心脏骤停后低体温时幼儿肠系膜非闭塞性缺血:病例报告。
据报道,非闭塞性肠系膜缺血(NOMI)在心脏骤停后复苏的成人中占很大比例,但在儿童中却很罕见。本报告介绍了日本首例已知的小儿在心脏骤停后恢复自主循环后出现非闭塞性肠系膜缺血的病例。一名16个月大的男孩因呼吸道异物窒息导致心跳骤停。在接受了10次肾上腺素注射(最长停搏时间为95分钟)后,患者恢复了自主循环。然而,在发病 40 小时后,患者出现了 NOMI,导致难治性低血压休克,血压下降,腹部膨胀,膀胱内压升高。经过两次开腹手术成功抢救,患者康复出院。虽然 NOMI 在儿童中并不常见,但适当的治疗可以挽救生命。
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CiteScore
2.80
自引率
10.50%
发文量
59
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