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心脏直视手术期间发生脑空气栓塞的高压氧治疗(作者译)

[Hyperbaric oxygenation in cerebral air embolism occurring during open-heart surgery (author's transl)].

作者信息

Toscano M, Chiavarelli R, Tucci F, Sinatra R, Pelaia P

出版信息

G Ital Cardiol. 1981;11(9):1301-4.

PMID:7327338
Abstract

Hyperbaric oxygenation was used in two patients with extensive neurologic damage from cerebral air embolism occurring during open-heart surgery. One patient made a full recovery. The use of hyperbaric oxygenation produces the most direct relief of the mechanical obstruction and provides the definitive treatment for cerebral air embolism. First consideration must be given to the prevention of this complication, but once an embolus has occurred, hyperbaric treatment should be instituted promptly and early. Therefore every team engaged in open-heart operations should be familiar with the diagnosis and the therapy of air embolism.

摘要

两名在心脏直视手术期间发生脑空气栓塞而出现广泛神经损伤的患者接受了高压氧治疗。其中一名患者完全康复。高压氧治疗能最直接缓解机械性梗阻,为脑空气栓塞提供了确定性治疗。必须首先考虑预防这种并发症,但一旦发生栓子,应立即尽早进行高压治疗。因此,每个从事心脏直视手术的团队都应熟悉空气栓塞的诊断和治疗。

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