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患有青紫型先天性心脏病的婴儿发生静脉空气栓塞导致心脏骤停。

Venous air embolism leading to cardiac arrest in an infant with cyanotic congenital heart disease.

作者信息

Watkins Scott C, McCarver Lewis, Vanbebber Alicia, Bichell David P

机构信息

Monroe Carell Jr. Children's Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, N 37232, USA.

出版信息

Case Rep Anesthesiol. 2012;2012:208430. doi: 10.1155/2012/208430. Epub 2012 Jan 19.

DOI:10.1155/2012/208430
PMID:22606404
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3350127/
Abstract

Gas emboli, including venous and arterial, are a rare but important complication of pediatric cardiac surgery. They have the potential to have devastating consequences and require prompt recognition and treatment. We present a case of gas embolism occurring in the immediate postoperative period in an infant with cyanotic congenital heart disease after palliative cardiac surgery resulting in cardiopulmonary arrest. The embolism was diagnosed by visualization of air within the vessel creating an airlock and occluding pulmonary blood flow.

摘要

气体栓塞，包括静脉和动脉气体栓塞，是小儿心脏手术中一种罕见但重要的并发症。它们有可能造成毁灭性后果，需要及时识别和治疗。我们报告一例患有青紫型先天性心脏病的婴儿在姑息性心脏手术后即刻发生气体栓塞导致心肺骤停的病例。通过观察血管内形成气栓并阻塞肺血流的空气来诊断栓塞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9899/3350127/6233a9a38d6f/CRIM.ANESTHESIOLOGY2012-208430.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9899/3350127/4bdfcd0fa30a/CRIM.ANESTHESIOLOGY2012-208430.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9899/3350127/6233a9a38d6f/CRIM.ANESTHESIOLOGY2012-208430.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9899/3350127/4bdfcd0fa30a/CRIM.ANESTHESIOLOGY2012-208430.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9899/3350127/6233a9a38d6f/CRIM.ANESTHESIOLOGY2012-208430.002.jpg

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本文引用的文献

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Liability related to peripheral venous and arterial catheterization: a closed claims analysis.外周静脉和动脉置管相关的责任：一项结案索赔分析。
Anesth Analg. 2009 Jul;109(1):124-9. doi: 10.1213/ane.0b013e31818f87c8. Epub 2009 Apr 17.
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Case 2--2007: Systemic air embolization after termination of cardiopulmonary bypass.
J Cardiothorac Vasc Anesth. 2007 Apr;21(2):288-97. doi: 10.1053/j.jvca.2006.09.012. Epub 2007 Jan 9.
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Diagnosis and treatment of vascular air embolism.血管空气栓塞的诊断与治疗。
Anesthesiology. 2007 Jan;106(1):164-77. doi: 10.1097/00000542-200701000-00026.
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Venous embolization during sternotomy in children undergoing corrective heart surgery.接受心脏矫正手术的儿童在胸骨切开术中的静脉栓塞
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Venous air embolism: a review.静脉空气栓塞：综述
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Pulmonary air embolism in the pediatric patient undergoing central catheter placement: a report of two cases.小儿患者中心静脉置管时发生肺空气栓塞：两例报告
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