静脉空气栓塞后凝血功能障碍：灾难性后果——病例报告
Coagulopathy following venous air embolism: a disastrous consequence -a case report-.
机构信息
Department of Anesthesia, Nizams Institute of Medical Sciences, Hyderabad, India.
出版信息
Korean J Anesthesiol. 2013 Oct;65(4):349-52. doi: 10.4097/kjae.2013.65.4.349. Epub 2013 Oct 24.
Abstract
Venous air embolism (VAE) is a life-threatening complication of some surgical procedures. Though occurrence of VAE is frequent during neurosurgical procedures, coagulopathy following VAE has not previously been reported. Coagulation abnormalities are more commonly reported associated with fat or amniotic fluid embolism, but rarely with VAE. We present a case of massive VAE in sitting position leading to fatal coagulopathy even after successful resuscitation following the event. Coagulation abnormalities and bleeding can produce catastrophic consequences in neurosurgical patients. This report emphasizes the possibility of this potentially fatal complication in patients who have sustained a massive VAE.
摘要
静脉空气栓塞（VAE）是某些外科手术中危及生命的并发症。虽然 VAE 在神经外科手术中经常发生，但 VAE 后的凝血异常以前尚未报道过。凝血异常更常见于脂肪或羊水栓塞，但很少与 VAE 相关。我们报告了一例在坐位时发生的大量 VAE，即使在事件发生后成功复苏，也导致致命性凝血异常。在神经外科患者中，凝血异常和出血会产生灾难性的后果。本报告强调了在发生大量 VAE 的患者中存在这种潜在致命并发症的可能性。
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