Morison D H, Riggs J R
Can Med Assoc J. 1974 Sep 7;111(5):433-7.
This report describes two cases of severe cardiovascular collapse occurring during laparoscopy using carbon dioxide insufflation under general anesthesia. Both patients made eventual complete recovery. The possible causes, gas embolism being the most likely, are discussed. A list of precautions for the safe conduct of laparoscopy is presented. Since these precautions have been followed there has been no recurrence of cardiovascular collapse in over 300 subsequent cases.
本报告描述了两例在全身麻醉下使用二氧化碳气腹进行腹腔镜检查期间发生严重心血管虚脱的病例。两名患者最终均完全康复。讨论了可能的原因,其中气体栓塞最有可能。列出了安全进行腹腔镜检查的预防措施清单。自遵循这些预防措施以来,在随后的300多例病例中未再发生心血管虚脱。