Belan A, Rida A, Hamoud N, Riou B, Vercel M
Service d'Anesthésie et de Réanimation, CHG A. Guérin, Ploermel.
Ann Fr Anesth Reanim. 1994;13(3):400-2. doi: 10.1016/s0750-7658(94)80047-2.
A bilateral sensorineural (perceptive) deafness occurred in a 12-year-old girl, following laparoscopic appendicectomy under general anaesthesia not comprising nitrous oxide and low insufflation pressures and a normal haemodynamic status. There was neither a personal nor a familial history of hearing disturbances nor a preoperative intake of ototoxic drugs. The initial loss of 50 dB has been substantiated by evoked auditive potentials. The treatment consisted of hyperbaric oxygenotherapy and vasodilators. The girl recovered completely. Finally the etiology of this complication remained unrecognized. Possibly the CO2 insufflated into the abdominal cavity could be considered. However, its causative effect remains to be proven.
一名12岁女孩在不包括氧化亚氮且气腹压力较低、血流动力学状态正常的全身麻醉下接受腹腔镜阑尾切除术后,出现了双侧感音神经性(感知性)耳聋。她既无个人听力障碍病史,也无家族听力障碍病史,术前也未摄入耳毒性药物。诱发电位证实最初听力损失为50分贝。治疗包括高压氧疗法和血管扩张剂。女孩完全康复。最后,这一并发症的病因仍未明确。可能会考虑腹腔内注入的二氧化碳。然而,其致病作用仍有待证实。