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麻醉诱导下人工气胸后发生系统性空气栓塞,治疗成功。

Systemic air embolism following induction of artificial pneumothorax under anaesthesia, with successful management.

作者信息

Khalil S N, Madan V, Rigor B M, Fields W S, Unger K M

出版信息

Br J Anaesth. 1979 May;51(5):461-4. doi: 10.1093/bja/51.5.461.

DOI:10.1093/bja/51.5.461
PMID:375955
Abstract

Systemic air embolism occurred in a patient during general anaesthesia, with positive pressure ventilation, following induction of artificial pneumothorax to assist in the diagnosis of a mediastinal mass. A sudden change in vital signs together with neurological abnormalities suggested involvement of both coronary and cerebral arteries. A trace of blood was noticed in the syringe which the surgeon had used to create the artificial pneumothorax. The patient was treated with hyperbaric oxygen and recovered satisfactorily, despite a 10-h interval between the air embolus and the institution of definitive therapy.

摘要

一名患者在全身麻醉期间,在进行人工气胸诱导以协助诊断纵隔肿块并采用正压通气时发生了全身性空气栓塞。生命体征的突然变化以及神经学异常提示冠状动脉和脑动脉均受累。在外科医生用于制造人工气胸的注射器中发现了微量血液。尽管空气栓塞与确定性治疗开始之间间隔了10小时,但患者接受了高压氧治疗并获得了满意的恢复。

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