胃内視鏡検査直後に心停止をきたした1症例

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タイトル別名
  • A REPORT OF A CASE OF CARDIAC ARREST SOON AFTER GASTROSCOPIC EXAMINATION

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A case Who died of cardiac arrest soon after gastrosopic examination is reported. A 61 year old man visited our department complaining of repeated nausea and voniting. Upper gastro-intestinal X-ray series revealed a small fleck of anglar portion and a deformity of duodenal cap. The gastroscopic examination showed pyloric stenosis due to duodenal ulcer. Soon after the endoscopic examination, irregular deep breath was noted for a couple of minutes, and then unconsiousness developed. Cardiac sounds were not audible. Cardiac massage and other resuscitation efforts were not successful. He had been treated with medication under diagnosis of hypertension, myocardial ishemia and arrythmia with atrial fibrillation in another hospital. The cause of death seemed to be sudden cardiac arrest, although autopsy was not performed. The number of elderly people has been in creasing who had not only the disease of gastro-intestinal tract, but also cardiovascular disorders. There might occur similar com-plication, therefore, the endoscopist must alweys pay attention to the anamnesis and physical examination, especially a complication of cardiovascular disorders. Moreover, electrocardiogram and a kind of medication for cardiopulmonary resuscitation should be prepared at hand in the endoscopy-room for emergency.

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