[神经外科手术前经对比超声心动图检测卵圆孔未闭]

[Detection by contrast ultrasonography of patent foramen ovale before neurosurgery].

作者信息

Lechat P, Guggiari M, Lascault G, Fuschiardi M, Evans J, Drobinski G, Klimczac K, Grosgogeat Y

出版信息

Presse Med. 1986 Sep 20;15(30):1409-10.

Abstract

Air embolism may occur during neurosurgery if performed in the seated position. Paradoxical systemic air embolism represents a potentially severe complication in case of patent foramen ovale. Contrast echocardiography detected such a malformation in 10/100 patients, which contra-indicated the sitting position in these 10 patients. No episode of paradoxical air embolism was observed in the 90 remaining patients, although 16 cases of pulmonary air embolism were detected during surgery.

摘要

如果在坐位进行神经外科手术，可能会发生空气栓塞。在存在卵圆孔未闭的情况下，反常性全身空气栓塞是一种潜在的严重并发症。对比超声心动图在100例患者中的10例检测到了这种畸形，这10例患者禁忌采用坐位。其余90例患者未观察到反常性空气栓塞事件，尽管在手术期间检测到16例肺空气栓塞病例。