Vo Van J M, Nguyen N Q, Le Bervet J Y
Département d'Anesthésie Réanimation, Hôtel-Dieu, Rennes, France.
Cah Anesthesiol. 1992;40(8):617-8.
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.
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。
