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[宫腔镜刮宫术中的致命气体栓塞]

[A fatal gas embolism during a hysteroscopy-curettage].

作者信息

Vo Van J M, Nguyen N Q, Le Bervet J Y

机构信息

Département d'Anesthésie Réanimation, Hôtel-Dieu, Rennes, France.

出版信息

Cah Anesthesiol. 1992;40(8):617-8.

PMID:1297536
Abstract

A 26 year old woman without any pathological history except metrorrhagia underwent a hysteroscopy under epidural anaesthesia and uterine cavity dilatation by saline solution. A respiratory distress and cardoffirculatory arrest occurred at the end of the procedure. Despite several attempts of cardiorespiratory resuscitation the patient deceased. The diagnosis retained was a gas embolism caused by blast effect from reintroduction of the hysteroscope into the uterine cavity. Different mandatory security measures are evoked.

摘要

一名26岁女性,除月经过多外无任何病史,在硬膜外麻醉下接受了宫腔镜检查,并通过生理盐水进行宫腔扩张。手术结束时出现呼吸窘迫和心肺骤停。尽管进行了多次心肺复苏尝试,患者仍死亡。最终诊断为宫腔镜重新插入宫腔时的冲击效应导致气体栓塞。文中提到了不同的强制性安全措施。

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