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内镜下第三脑室造瘘术中的静脉空气栓塞

Venous Air Embolism During Endoscopic Third Ventriculostomy.

作者信息

Bala Renu, Pandia Mihir P

机构信息

Department of Anaesthesia, Pt. B D Sharma PGIMS, Rohtak, Haryana, India.

Department of Neuroanaesthesia, C N Center, AIIMS, New Delhi, India.

出版信息

Asian J Neurosurg. 2018 Apr-Jun;13(2):431-432. doi: 10.4103/1793-5482.185072.

Abstract

Neuroendoscopic procedures are increasingly performed nowadays due to the significant technological improvement of endoscopic instrumentation. It carries various advantages such as speed, simplicity, avoidance of implants, and no brain dissection or retraction. Although considered to be safe, it is associated with a host of complications. We hereby report a case of venous air embolism in an infant who was undergoing endoscopic third ventriculostomy. The complication occurred at the completion of surgery when surgeons were withdrawing the endoscope. The successful management of this uncommon event is being discussed.

摘要

由于内镜器械的重大技术改进,神经内镜手术如今越来越多地被开展。它具有多种优势,如速度快、操作简单、无需植入物,且无需进行脑部分离或牵拉。尽管被认为是安全的,但它仍伴有一系列并发症。我们在此报告一例在接受内镜下第三脑室造瘘术的婴儿中发生静脉空气栓塞的病例。该并发症发生在手术结束时外科医生拔出内镜的时候。本文正在讨论对这一罕见事件的成功处理。

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本文引用的文献

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Complications following endoscopic intracranial procedures in children.
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