腹腔镜部分肝切除术后恢复延迟。

Delayed recovery following laparoscopic partial hepatectomy.

机构信息

Department of Critical Care, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, Brussels, Belgium.

出版信息

Eur J Anaesthesiol. 2012 Feb;29(2):105-7. doi: 10.1097/EJA.0b013e32834c149f.

PMID:21946825

Abstract

We present a 42-year-old woman with unexpected coma after laparoscopic partial hepatectomy. MRI demonstrated ischaemic cerebral lesions. Further investigation revealed a patent foramen ovale. Cryptogenic stroke arising from a paradoxical carbon dioxide embolism was diagnosed. After 5 days of intensive care, she made a near complete recovery. Perioperative stroke, paradoxical emboli during surgery, patent foramen ovale, carbon dioxide cerebral embolism and therapeutic strategies are discussed.

摘要

我们报告了一位 42 岁女性，在腹腔镜部分肝切除术后出现意外昏迷。MRI 显示脑缺血病变。进一步检查发现卵圆孔未闭。诊断为源于反常二氧化碳栓塞的隐源性卒中。经过 5 天的重症监护，她几乎完全康复。讨论了围手术期卒中、手术期间的反常栓塞、卵圆孔未闭、二氧化碳脑栓塞和治疗策略。