Hill B F, Jones J S
Emergency Medicine Residency Program, Butterworth Hospital, Michigan State University College of Human Medicine, Grand Rapids.
Am J Emerg Med. 1993 Mar;11(2):155-7. doi: 10.1016/0735-6757(93)90111-n.
Venous air embolism is an infrequent complication of pregnancy but may occur if air is blown into the vagina during orogenital sex. Air passes beneath the fetal membranes and into the circulation of the subplacental sinuses, invariably causing death to both mother and fetus within minutes. Reported is the case of a nonfatal air embolism following vaginal air insufflation in the 38th week of pregnancy. The hospital course was complicated by hypotension, metabolic acidosis, acute neurologic changes, and emergency caesarean section with eventual fetal demise. Clinical and laboratory abnormalities as well as treatment measures are discussed. Familiarity with this syndrome is essential if prompt and appropriate therapy is to be rendered.
静脉空气栓塞是妊娠罕见的并发症，但在口交时若向阴道吹气则可能发生。空气穿过胎膜进入胎盘下窦的循环，几分钟内必然导致母亲和胎儿死亡。本文报告了一例妊娠38周时阴道充气后发生非致命性空气栓塞的病例。患者住院期间出现低血压、代谢性酸中毒、急性神经功能改变，行急诊剖宫产，最终胎儿死亡。文中讨论了临床和实验室异常情况以及治疗措施。若要进行及时恰当的治疗，熟悉该综合征至关重要。
