Giuly E, Pesenti C, Pernoud N, Bories E, Francon D
Département d'anesthésie-réanimation, institut Paoli-Calmettes, 232, boulevard de Sainte-Marguerite, 13273 Marseille cedex 9, France.
Ann Fr Anesth Reanim. 2005 Nov-Dec;24(11-12):1400-3. doi: 10.1016/j.annfar.2005.06.014. Epub 2005 Oct 12.
We report the case of a 60-year-old-woman with a myeloma who was hospitalized with a cholestasis. An endoscopic retrograde cholangiopancreatography was scheduled under general anaesthesia with oral intubation. As the biliary prothesis was placed an air embolism happened. The symptomatic treatment allowed a complete recovery. This complication is rare. The pathophysiology is not well known, we discuss the possible mechanisms.
我们报告了一例60岁患有骨髓瘤的女性患者,她因胆汁淤积症住院。计划在全身麻醉下经口插管进行内镜逆行胰胆管造影术。在放置胆管假体时发生了空气栓塞。对症治疗后患者完全康复。这种并发症很罕见。其病理生理学尚不清楚,我们讨论了可能的机制。