Schaffranietz L, Dyrna A, Sorge O, Vitzthum H E, Günther L
Klinik und Poliklinik für Anästhesiologie und Intensivmedizin, Medizinischen Fakultät, Universität Leipzig.
Anaesthesiol Reanim. 1995;20(1):12-5.
The occurrence of air embolism during neurosurgical operations in sitting position is described in two cases. Besides the Doppler ultrasound evidence, relevant effects on the cardiopulmonary situation during surgery were observed, which in one case forced an early end of the operation. Postoperative management in both cases was complicated by a pulmonary oedema. In severe intraoperative cardiopulmonary complications in connection with venous air embolism, the existence of pulmonary oedema should be assumed. Confirmation of the diagnosis and the correct therapy depend upon frequent postoperative chest X-rays.
本文描述了两例在神经外科手术坐位时发生空气栓塞的病例。除了多普勒超声证据外，还观察到手术期间对心肺状况的相关影响，其中一例迫使手术提前结束。两例患者的术后管理均因肺水肿而变得复杂。对于与静脉空气栓塞相关的严重术中心肺并发症，应考虑存在肺水肿。诊断的确认和正确的治疗取决于术后频繁的胸部X光检查。
