Ou Yang, Li Jun-Qiang, Tang Rong, Ma Duo-Na, Liu Yang
Department of Obstetrics and Gynecology, Affiliated Hospital of Southwest Jiaotong University, The Third People's Hospital of Chengdu, Chengdu, China.
Department of Obstetrics, Sichuan Jinsin Xinan Women's & Children's Hospital, Chengdu, China.
Front Med (Lausanne). 2024 Dec 6;11:1504884. doi: 10.3389/fmed.2024.1504884. eCollection 2024.
Hysteroscopic procedures complicated by air embolism (AE) are exceptionally rare occurrences in clinical practice, and there have been no previously reported cases of AE associated with hysteroscopic dilation and curettage. While the overall incidence of this complication is low, the consequences can be devastating. During early pregnancy, the unique physiological changes, such as elevated hormonal levels and increased uterine blood supply, significantly heighten the risk of AE development. Therefore, the prompt recognition of early signs and symptoms, coupled with the implementation of timely and effective interventions, are crucial to improve patient survival rates and minimize the risk of long-term sequelae. This case report presents the characteristic clinical manifestations and imaging findings associated with AE, providing a valuable clinical reference for obstetricians and gynecologists to recognize this rare yet potentially life-threatening complication of hysteroscopic procedures. Early detection and appropriate management are essential to optimize patient outcomes and prevent catastrophic consequences.
宫腔镜手术并发空气栓塞（AE）在临床实践中极为罕见，此前尚无与宫腔镜刮宫术相关的AE病例报道。虽然这种并发症的总体发生率较低，但其后果可能是毁灭性的。在妊娠早期，独特的生理变化，如激素水平升高和子宫血供增加，会显著增加发生AE的风险。因此，迅速识别早期体征和症状，并及时实施有效干预措施，对于提高患者生存率和降低长期后遗症风险至关重要。本病例报告展示了与AE相关的特征性临床表现和影像学表现，为妇产科医生认识这种罕见但可能危及生命的宫腔镜手术并发症提供了有价值的临床参考。早期发现和适当处理对于优化患者预后和预防灾难性后果至关重要。
