清醒仰卧位患者在脑深部电刺激手术中进行微电极记录时发生静脉空气栓塞。
Venous air embolism during microelectrode recording in deep brain stimulation surgery in an awake supine patient.
作者信息
Kumar Rajinder, Goyal Vinay, Chauhan R S
机构信息
Assistant Professor of Neurosurgery, Department of Neurosurgery, All India Institute of Medical Sciences New Delhi, India.
出版信息
Br J Neurosurg. 2009 Aug;23(4):446-8. doi: 10.1080/02688690902775538.
Venous air embolism (VAE) is a potentially serious complication in neurosurgery. It occurs most commonly during craniotomy in the sitting position. Diagnosis is difficult in awake patients on spontaneous ventilation due to different clinical manifestations. Prompt diagnosis and treatment are essential. We report venous air embolism in an awake patient undergoing deep brain stimulation for Parkinson's disease and discuss the pathogenesis, prevention and management of VAE.
静脉空气栓塞（VAE）是神经外科手术中一种潜在的严重并发症。它最常发生于坐位开颅手术期间。由于临床表现各异，清醒且自主通气的患者诊断困难。及时诊断和治疗至关重要。我们报告了一例在接受帕金森病脑深部刺激术的清醒患者中发生的静脉空气栓塞，并讨论了VAE的发病机制、预防和处理。
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