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[乙醇注射治疗动静脉畸形继发心血管抑制和血管内溶血]

[Cardiovascular depression and intravascular hemolysis secondary to ethanol injection for arteriovenous malformation].

作者信息

Cai Mei-Hua, Su Li-Xin, Qiu Lin

机构信息

Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China. E-mail:

出版信息

Shanghai Kou Qiang Yi Xue. 2016 Aug;25(4):511-512.

Abstract

Ethanol is the only liquid embolization agent which can cure arteriovenous malformation. Complications of ethanol embolization are not rare including local tissue injury, intravascular hemolysis and cardiovascular depression even collapse, etc. This report presented a case of long time cardiovascular depression and intravascular hemolysis secondary to ethanol embolotherapy of right ear. In order to avoid the fatal complications that are associated with ethanol sclerotherapy, anesthesiologists should consider the use of continuously invasive hemodynamic monitoring while surgeons should carefully choose the dose of ethanol.

摘要

乙醇是唯一能治愈动静脉畸形的液体栓塞剂。乙醇栓塞的并发症并不罕见,包括局部组织损伤、血管内溶血以及心血管抑制甚至衰竭等。本报告介绍了一例因右耳乙醇栓塞治疗继发长时间心血管抑制和血管内溶血的病例。为避免与乙醇硬化疗法相关的致命并发症,麻醉医生应考虑使用持续有创血流动力学监测,而外科医生应谨慎选择乙醇剂量。

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