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腹腔镜检查和宫腔镜检查期间的二氧化碳栓塞

Carbon dioxide embolism during laparoscopy and hysteroscopy.

作者信息

Gomar C, Fernandez C, Villalonga A, Nalda M A

出版信息

Ann Fr Anesth Reanim. 1985;4(4):380-2. doi: 10.1016/S0750-7658(85)80111-8.

DOI:10.1016/S0750-7658(85)80111-8
PMID:2931041
Abstract

Venous carbon dioxide embolism is a rare but potentially lethal complication of laparoscopy. The risk is increased when it is associated with hysteroscopy. A case is presented of a young women undergoing laparoscopy and hysteroscopy for infertility. Cardiovascular collapse and cardiac arrest, associated with a mill-wheel murmur, occurred during hysteroscopy at the time of a change of position. The patient had irreversible brain damage and died a week later. Early diagnosis and prevention of this serious complication are discussed.

摘要

静脉二氧化碳栓塞是腹腔镜检查中一种罕见但可能致命的并发症。当它与宫腔镜检查相关时,风险会增加。本文介绍了一例年轻女性因不孕症接受腹腔镜检查和宫腔镜检查的病例。在宫腔镜检查期间改变体位时,出现了与水车样杂音相关的心血管虚脱和心脏骤停。患者发生了不可逆的脑损伤,一周后死亡。本文讨论了这种严重并发症的早期诊断和预防。

相似文献

1
Carbon dioxide embolism during laparoscopy and hysteroscopy.腹腔镜检查和宫腔镜检查期间的二氧化碳栓塞
Ann Fr Anesth Reanim. 1985;4(4):380-2. doi: 10.1016/S0750-7658(85)80111-8.
2
[Gas embolism with cardiac arrest during hysteroscopy. A case report on 3 patients].[宫腔镜检查期间气体栓塞伴心脏骤停。3例病例报告]
Anasthesiol Intensivmed Notfallmed Schmerzther. 1991 Nov;26(7):412-5. doi: 10.1055/s-2007-1000610.
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Gas embolism during hysteroscopy.宫腔镜检查期间的气体栓塞
Can J Anaesth. 1999 Apr;46(4):379-81. doi: 10.1007/BF03013233.
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Cardiac arrest in the neonate during laparoscopic surgery.新生儿在腹腔镜手术期间发生心脏骤停。
Anesth Analg. 2009 Sep;109(3):760-2. doi: 10.1213/ane.0b013e3181adc6f9.
5
[Air embolism and exploratory hysteroscopy: myths or realities? Preliminary results].
J Gynecol Obstet Biol Reprod (Paris). 1995;24(1):19-23.
6
Pulmonary interstitial edema after probable carbon dioxide embolism during laparoscopy.
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Cardiovascular collapse in laparoscopy.腹腔镜检查中的心血管虚脱
Can Med Assoc J. 1974 Sep 7;111(5):433-7.
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[Room air as the etiology of gas embolism in diagnostic CO2 hysteroscopy].
Zentralbl Gynakol. 2000;122(4):222-5.
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Successful resuscitation after carbon dioxide embolism during laparoscopy.腹腔镜检查期间二氧化碳栓塞后的成功复苏。
Surg Laparosc Endosc Percutan Tech. 2012 Jun;22(3):e164-7. doi: 10.1097/SLE.0b013e31825150a9.
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Carbon dioxide embolism during laparoscopy: a case report.腹腔镜检查期间的二氧化碳栓塞:一例报告。
AANA J. 1992 Apr;60(2):139-44.

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Hemodynamic effects of argon pneumoperitoneum.氩气气腹的血流动力学效应
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Carbon dioxide embolism treated with hyperbaric oxygen.高压氧治疗二氧化碳栓塞
Can J Anaesth. 1989 Sep;36(5):586-9. doi: 10.1007/BF03005390.
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Method for producing gas bubbles for use in air-embolism studies.用于空气栓塞研究的气泡产生方法。
Med Biol Eng Comput. 1991 Jan;29(1):104-8. doi: 10.1007/BF02446306.