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本文引用的文献

1
Venous air embolism during semi-sitting craniotomy evokes thrombocytopenia.半坐式开颅术中发生静脉空气栓塞可引起血小板减少症。
Anaesthesia. 2011 Jan;66(1):25-30. doi: 10.1111/j.1365-2044.2010.06584.x.
2
Acute management of vascular air embolism.血管空气栓塞的急性处理
J Emerg Trauma Shock. 2009 Sep;2(3):180-5. doi: 10.4103/0974-2700.55330.
3
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.
4
Air embolism--a case series and review.空气栓塞——病例系列及综述
Crit Care Resusc. 2004 Dec;6(4):271-6.
5
Anaesthesia for neurosurgery in the sitting position: a practical approach.
Anaesth Intensive Care. 2005 Jun;33(3):323-31. doi: 10.1177/0310057X0503300307.
6
Amniotic fluid embolism with haemostasis complications: primary fibrinogenolysis or disseminated intravascular coagulation?伴有止血并发症的羊水栓塞：原发性纤维蛋白溶解还是弥散性血管内凝血？
Pathophysiol Haemost Thromb. 2003 May-Jun;33(3):170-1. doi: 10.1159/000077826.
7
Fatal gas embolism during transurethral incision of the bladder neck under spinal anesthesia.脊髓麻醉下经尿道膀胱颈切开术期间发生致命性气体栓塞
Anesth Analg. 2003 Dec;97(6):1833-1834. doi: 10.1213/01.ANE.0000087065.12515.68.
8
Venous air embolism: a review.静脉空气栓塞：综述
J Clin Anesth. 1997 May;9(3):251-7. doi: 10.1016/s0952-8180(97)00024-x.
9
An unusual case of maternal-fetal death due to vaginal insufflation of cocaine.一例因阴道吹入可卡因导致母婴死亡的罕见病例。
Am J Forensic Med Pathol. 1994 Dec;15(4):335-9. doi: 10.1097/00000433-199412000-00010.
10
Disseminated intravascular coagulation: an important feature of the fat embolism syndrome.弥散性血管内凝血：脂肪栓塞综合征的一个重要特征。
Can Med Assoc J. 1971 Jul 10;105(1):74-6.

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.

DOI:10.4097/kjae.2013.65.4.349
PMID:24228151
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3822030/
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。