Janny G
Zentralbl Gynakol. 1976;98(22):1376-82.
According to the literature data lethal air embolie occured several times at interruptions of pregnancy carried out by vacuum-aspiration. The question was investigated whether complications were brought about by the method itself or were the fatal consequencies of some technical faults. At the vacuum aspiration the triggering mechanism for air-embolie is absent. On the basis of the reports being evaluable at our disposal we found that more than the half of the lethal air-embolies were caused by medical technical errors which could have been avoided with more precaution. In the other cases the medical technical errors could not be proved but adequate explanations for the lethal cases are missing. Carrying out the operations with thoroughful care and taking into consideration more strictly all precautionary measures there is no reason for fearing of lethal air-embolie.
根据文献资料,在进行真空抽吸终止妊娠时曾多次发生致死性空气栓塞。研究的问题是,并发症是由该方法本身引起的,还是某些技术故障的致命后果。在真空抽吸过程中,不存在引发空气栓塞的机制。根据我们可评估的报告,我们发现超过一半的致死性空气栓塞是由医疗技术失误引起的,而这些失误本可通过更加谨慎的操作避免。在其他案例中,无法证实存在医疗技术失误,但对于致死案例也缺乏充分的解释。只要在手术操作中小心谨慎,并更严格地考虑所有预防措施,就没有理由担心致死性空气栓塞的发生。