根治性会阴前列腺切除术中的静脉空气栓塞

Venous air embolism during radical perineal prostatectomy.

作者信息

Jolliffe M P, Lyew M A, Berger I H, Grimaldi T

机构信息

Department of Anesthesiology, State University of New York at Buffalo, USA.

出版信息

J Clin Anesth. 1996 Dec;8(8):659-61. doi: 10.1016/s0952-8180(96)00174-2.

DOI:10.1016/s0952-8180(96)00174-2

PMID:8982895

Abstract

An abrupt decrease in end-tidal carbon dioxide (CO2) occurred in an anesthetized male who was placed in the head down position during radical perineal prostatectomy. The end-tidal CO2 was restored after insertion of a wet pack into the operative site, which strongly indicated venous air embolism as the cause. Predisposing factors, detection, and treatment of venous air embolism in this setting are discussed.

摘要

在根治性会阴前列腺切除术期间，一名处于头低位的麻醉男性患者出现呼气末二氧化碳（CO₂）突然下降。在手术部位插入湿纱布后呼气末CO₂恢复正常，这强烈提示静脉空气栓塞是病因。本文讨论了这种情况下静脉空气栓塞的易感因素、检测方法及治疗措施。