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宫腔镜手术中的静脉气体栓塞:一种相对简单手术中的毁灭性并发症。

Venous gas embolism in operative hysteroscopy: A devastating complication in a relatively simple surgery.

作者信息

Verma Amit, Singh Madhu Pandey

机构信息

Department of Anesthesiology and Pain Medicine, Dr. Balwant Singh's Hospital Inc., Georgetown, Guyana.

Department of Obstetrics and Gynecology, Dr. Balwant Singh's Hospital Inc., Georgetown, Guyana.

出版信息

J Anaesthesiol Clin Pharmacol. 2018 Jan-Mar;34(1):103-106. doi: 10.4103/joacp.JOACP_235_15.

Abstract

Venous air embolism can be a catastrophic iatrogenic complication during operative hysteroscopy and makes this simple surgical procedure very risky, especially with the lack of knowledge about its prevention, presentation, and immediate management. Three out of 13 hysteroscopic myoma resections at our center had venous gas embolism (VGE). The prevention, diagnosis, and management of VGE are described in this report of three cases.

摘要

静脉空气栓塞可能是宫腔镜手术期间一种灾难性的医源性并发症,会使这种简单的外科手术风险极高,尤其是在缺乏对其预防、表现及紧急处理的认识时。我们中心13例宫腔镜子宫肌瘤切除术中有3例发生了静脉气体栓塞(VGE)。本报告通过3例病例描述了VGE的预防、诊断及处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/673a/5885422/b942a6cc8c12/JOACP-34-103-g001.jpg

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