Mesh : Humans Infant Intestinal Perforation / etiology diagnostic imaging Multiple Organ Failure / etiology Fatal Outcome Peritonitis / etiology Male Barium Enema / adverse effects methods Barium Sulfate / adverse effects Contrast Media / adverse effects

来  源:   DOI:10.1097/MD.0000000000037926   PDF(Pubmed)

Abstract:
BACKGROUND: Barium peritonitis is an inflammatory response that occurs when barium accidentally enters the abdominal cavity during a barium test. In extreme circumstances, it has the potential to harm various organs and even result in death.
METHODS: A 3-month-old infant was diagnosed with multiple organ failure after severe barium peritonitis.
METHODS: Multiple organ dysfunction is associated with barium peritonitis.
METHODS: The infant underwent surgical intervention and received ventilator support, anti-infection therapy, myocardial nutrition, liver and kidney protection, rehydration, circulation stabilization, and other symptomatic supportive care.
RESULTS: The patient experienced clinical death after treatment and resuscitation was unsuccessful.
CONCLUSIONS: Barium enema perforation complications are uncommon, but can lead to fatal injuries with a high mortality rate. This case highlights the importance of raising awareness among clinicians about the risks of gastroenterography in infants and children and actively preventing and avoiding similar serious complications. The mortality rate can be reduced by timely multidisciplinary consultation and joint management once a perforation occurs.
摘要:
背景:钡腹膜炎是在钡检查过程中钡意外进入腹腔时发生的一种炎症反应。在极端情况下,它有可能伤害各种器官,甚至导致死亡。
方法:一名3月龄婴儿在严重钡腹膜炎后被诊断为多器官功能衰竭。
方法:多器官功能障碍与钡腹膜炎相关。
方法:婴儿接受了手术干预并接受了呼吸机支持,抗感染治疗,心肌营养,肝肾保护,补液,循环稳定,和其他对症支持治疗。
结果:患者在治疗后出现临床死亡,复苏失败。
结论:钡灌肠穿孔并发症并不常见,但可能导致高死亡率的致命伤害。该病例强调了提高临床医生对婴儿和儿童胃肠造影风险的认识并积极预防和避免类似严重并发症的重要性。一旦发生穿孔,通过及时的多学科咨询和联合管理可以降低死亡率。
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