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经皮房间隔缺损封堵术中自体输血引起的急性空气栓塞:一例报告。

Acute air embolism caused by autotransfusion during percutaneous atrial septal defect closure: A case report.

作者信息

Liao Yu-Qi, Zhang Meng-Qiu

机构信息

Department of Anesthesiology The Third People's Hospital of Chengdu Chengdu China.

Department of Anesthesiology West China Hospital Sichuan University Chengdu China.

出版信息

Clin Case Rep. 2022 Mar 27;10(3):e05654. doi: 10.1002/ccr3.5654. eCollection 2022 Mar.

DOI:10.1002/ccr3.5654
PMID:35356172
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8958190/
Abstract

Atrial septal defect is a common congenital heart disease in adults and it is often asymptomatic. Percutaneous device closure is gaining popularity, but percutaneous repair of atrial septal defect leading to left atrial rupture and subsequent autotransfusion under high pressure leading to air embolism has not been reported yet.

摘要

房间隔缺损是成人常见的先天性心脏病,通常无症状。经皮器械封堵正越来越受欢迎,但经皮修复房间隔缺损导致左心房破裂及随后高压下自体输血导致空气栓塞的情况尚未见报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d38f/8958190/d8d74c2cd176/CCR3-10-e05654-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d38f/8958190/d8d74c2cd176/CCR3-10-e05654-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d38f/8958190/d8d74c2cd176/CCR3-10-e05654-g001.jpg

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本文引用的文献

1
Air embolism complicating gastrointestinal endoscopy: A systematic review.并发于胃肠道内镜检查的空气栓塞:一项系统评价
World J Gastrointest Endosc. 2013 Aug 16;5(8):359-65. doi: 10.4253/wjge.v5.i8.359.
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Experiments on the Transfusion of Blood by the Syringe.关于用注射器输血的实验
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Long-term outcome of iatrogenic gas embolism.医源性气体栓塞的长期转归。
Intensive Care Med. 2010 Jul;36(7):1180-7. doi: 10.1007/s00134-010-1821-9. Epub 2010 Mar 11.
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Vascular air embolism: lung injury and its pathophysiology also need to be considered.血管空气栓塞:还需要考虑肺损伤及其病理生理学。
Anesthesiology. 2007 Nov;107(5):853; author reply 853-4. doi: 10.1097/01.anes.0000287350.01937.9e.
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Clinical update: atrial septal defect in adults.临床最新进展:成人房间隔缺损
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Anesthesiology. 2007 Jan;106(1):164-77. doi: 10.1097/00000542-200701000-00026.
8
Surgical management of complications after transcatheter closure of an atrial septal defect or patent foramen ovale.房间隔缺损或卵圆孔未闭经导管封堵术后并发症的外科治疗
J Thorac Cardiovasc Surg. 2000 Dec;120(6):1034-9. doi: 10.1067/mtc.2000.111054.
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Congenital heart disease in adults. First of two parts.成人先天性心脏病。分为两部分,第一部分。
N Engl J Med. 2000 Jan 27;342(4):256-63. doi: 10.1056/NEJM200001273420407.
10
Minimizing venous air embolism from reinfusion bags.
Anesthesiology. 1999 Dec;91(6):1962. doi: 10.1097/00000542-199912000-00058.