当心毛粪石的燃烧:简要报道和警告1例

作     者：RavalM.V. Weiner T.M. 宁亮 

作者机构：Division of Pediatric SurgeryDepartment of SurgeryUniv. of NCat Chapel Hill Chapel Hill NC 27599-7223 United States 

出 版 物：《世界核心医学期刊文摘（儿科学分册）》 (Dkgest of the World Latest Medical Information)

年 卷 期：2005年第1卷第10期

页      面：59-59页

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：毛粪石 肠道梗阻 可燃性气体 

摘      要：Operating room fires are receiving increasing attention in the medical literat ure and in the general public. The best way to reduce these iatrogenic, sometime s devastating, events is communication and education. The authors present the ca se of a 14-year-old adolescent girl who had an apparent explosive event during a laparotomy for removal of a large gastric trichobezoar. This event was presum ably associated with gas production under increased pressures in the gastrointes tinal tract caused by an obstructive and decomposing trichobezoar. This is the f irst reported association between trichobezoars and potential intraoperative fir e and/or injury. It is the recommendation of the authors to avoid the use of ele ctrocautery when initially entering a portion of the gastrointestinal tract thou ght to contain a bezoar to avoid the potential for surgical fire or concussive t issue damage.