Smelt W L, de Lange J J
Department of Anesthesiology, Free University Hospital, Amsterdam, The Netherlands.
Mt Sinai J Med. 1990 Mar;57(2):112-6.
Air embolism occurred in a 25-year-old patient undergoing surgery for reconstruction of the subclavian vein. Air embolism probably occurred twice, the second time at about an hour after closure of the vein. The cause of this delayed air embolism is discussed. We conclude that capnographic monitoring for air embolism is advisable whenever surgery is performed on a patient in the half-sitting position, and that inserting a central venous catheter to facilitate removal of the air in the event of massive air embolism may be wise.
一名25岁接受锁骨下静脉重建手术的患者发生了空气栓塞。空气栓塞可能发生了两次，第二次发生在静脉闭合后约一小时。本文讨论了这种延迟性空气栓塞的原因。我们得出结论，每当对处于半坐位的患者进行手术时，建议采用二氧化碳图监测空气栓塞情况，并且在发生大量空气栓塞时插入中心静脉导管以利于排出空气可能是明智的。
