肝切除术中的反常空气栓塞

Paradoxical air embolism during hepatic resection.

作者信息

Lee S Y, Choi B I W, Kim J S, Park K S

机构信息

Department of Anesthesiology, Ajou University, School of Medicine, Suwon, Korea.

出版信息

Br J Anaesth. 2002 Jan;88(1):136-8. doi: 10.1093/bja/88.1.136.

DOI:10.1093/bja/88.1.136

PMID:11883374

Abstract

Systemic venous air embolism is a serious complication in patients with chronic liver disease having liver surgery. Intrapulmonary arteriovenous shunting can permit air emboli to pass into the systemic circulation. We describe a case of paradoxical air embolism detected by transoesophageal echocardiography in a patient with cirrhosis who was having a hepatic resection.

摘要

系统性静脉空气栓塞是慢性肝病患者进行肝脏手术时的一种严重并发症。肺内动静脉分流可使空气栓子进入体循环。我们描述了一例通过经食管超声心动图检测到的矛盾性空气栓塞病例，该患者为一名正在接受肝切除手术的肝硬化患者。