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Articolul urmator |
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SM ISO690:2012 ROTARU, Mihai, ŞCERBATIUC-CONDUR, Corina, BERNIC, Valentin, ROJNOVEANU, Gheorghe. Non-surgical pneumoperitoneum in a patient with COVID-19. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 291. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Pag. 291-291 | ||||||
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Rezumat | ||||||
Background. Pneumoperitoneum is defined as the presence of air in the abdominal cavity. One of the non-surgical causes of pneumoperitoneum is mechanical ventilation, with sporadic cases caused by the pandemic period and the management of COVID-19 patients. Objective of the study. Management of spontaneous pneumoperitoneum in COVID-19 patient. Material and Methods. Woman, 64 years old, hospitalized in serious condition in ATI, COVID-19 confirmed, 4 days after the onset. Progressive worsening tachypnea - 26-30 breaths per minute, 84% SPO2-, NIV intolerance. Difficult intubation. Postintubation - sudden increase in volume of the abdomen, disappearance of liver dullness, diffuse eardrum. BP 75 / 47mmHg, HR 134bpm, SPO2 45%, cardiotonics were administered . Results. The absence of the ulcer anamnesis and the favorable circumstances establish the suspicion of non-surgical pneumoperitoneum. Infraumbilical laparocentesis: pressurized air was evacuated. BP 102/65 mmHg, HR at 74beats per minute, SO2 89-91%. Drain extraction on the 3rd day. Death on the 39th day after admission. Conclusion. The diagnosis of non-surgical pneumoperitoneum should be considered in COVID-19 patients on oxygen support, being a rare nosology, but with major repercussions in case of poor management |
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Cuvinte-cheie pneumoperitoneu, non-chirurgical, COVID-19, pneumoperitoneum, non-surgical, COVID-19 |
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