Obenhaus T, Maurer W
Klinik für Anaesthesiologie und Intesivmedizin, Städtisches Klinikum Wiesbaden.
Anaesthesist. 1990 Apr;39(4):243-6.
During CO2 hysteroscopy the intracavitary pressure increases up to 80 mmHg. This can result in a CO2 embolism, especially after injury/lesion of the endometrium. A 49-year-old female Caucasian patient underwent curettage, and the following day while a hysteroscopy was being performed in general anesthesia a CO2 embolism occurred, with bradyarrhythmia, drop of arterial blood pressure, superior vena cava syndrome, metallic heartsound and hypercapnia. It was possible to achieve recompensation of the right heart failure with drug therapy. Other causes (lung embolism, hypoventilation, increased CO2 production, cardiac causes) could be excluded.
在二氧化碳宫腔镜检查过程中，宫腔内压力可升至80毫米汞柱。这可能导致二氧化碳栓塞，尤其是在子宫内膜受到损伤后。一名49岁的白种女性患者接受了刮宫术，次日在全身麻醉下进行宫腔镜检查时发生了二氧化碳栓塞，伴有缓慢性心律失常、动脉血压下降、上腔静脉综合征、金属心音和高碳酸血症。通过药物治疗有可能实现右心衰竭的代偿。其他原因（肺栓塞、通气不足、二氧化碳产生增加、心脏原因）可以排除。
