剖宫产术中血流动力学受损空气栓塞的胸前多普勒诊断

Precordial Doppler diagnosis of haemodynamically compromising air embolism during caesarean section.

作者信息

Fong J, Gadalla F, Gimbel A A

机构信息

Department of Anesthesiology, New York Hospital, NY 10021.

出版信息

Can J Anaesth. 1990 Mar;37(2):262-4. doi: 10.1007/BF03005482.

DOI:10.1007/BF03005482

PMID:2178791

Abstract

This is a report of a 39-year-old parturient who had a haemodynamically compromising venous air embolism during a repeat Caesarean section under lumbar epidural anaesthesia. The embolism occurred immediately after surgical incision during surgery in the superficial subcutaneous tissues. The diagnosis was made using intraoperative precordial ultrasonic Doppler monitoring which allowed early and successful treatment.

摘要

这是一份关于一名39岁产妇的报告，她在腰段硬膜外麻醉下进行再次剖宫产手术时发生了血流动力学受损的静脉空气栓塞。栓塞发生在手术切开浅皮下组织后即刻。通过术中的心前区超声多普勒监测做出诊断，从而实现了早期且成功的治疗。