Lignitz E, Püschel K, Saukko P, Koops E, Mattig W
Z Rechtsmed. 1985;95(4):297-306. doi: 10.1007/BF00200463.
Endoscopy and laparoscopy are part of modern gynecology. Using them, however, implies the occurrence of certain complications. The rate of complications, according to international statistics, about 3.5 per thousand with a lethality rate of 0.02 per thousand, is significantly influenced by the practitioner's personal experience and skill. The most relevant complication is hemorrhage. As a result of the patient's position, the aorta and pelvic arteries are most endangered. The symptoms of complications should be kept in mind by the physician, as well as the methods of rendering immediate medical support. Two cases with a fatal outcome are illustrated, which were caused by ignorance of an acute and slow hemorrhage, respectively. Publishing them could help to prevent further such cases.
内镜检查和腹腔镜检查是现代妇科的一部分。然而,使用它们意味着会出现某些并发症。根据国际统计数据,并发症发生率约为千分之3.5,致死率为千分之0.02,这受到从业者个人经验和技能的显著影响。最相关的并发症是出血。由于患者的体位,主动脉和盆腔动脉最易受到危及。医生应牢记并发症的症状以及提供即时医疗支持的方法。文中列举了两例致命病例,分别是由于对急性出血和慢性出血的忽视所致。公布这些病例有助于预防未来再发生此类情况。