[一例输卵管通气术中空气栓塞病例]
[A case of air embolism during tubal insufflation].
作者信息
Imai Y, Matsukawa T, Kumazawa T
机构信息
Department of Anesthesia, Yamanashi Medical University.
出版信息
Masui. 1998 Jul;47(7):877-8.
Air embolism occurred immediately after tubal insufflation in a 40-yr-old female patient following abdominal total hysterectomy under general anesthesia. Abrupt decreases in Etco2, Spo2, and blood pressure were observed. Blood gas analysis revealed a marked difference between PaCO2 and EtCO2. The patient recovered soon and was extubated in the operating room. The post operative course was uneventful. Monitoring of EtCO2 was effective for early detection of air embolism.
一名40岁女性患者在全身麻醉下进行腹部全子宫切除术后，输卵管通气后立即发生空气栓塞。观察到呼气末二氧化碳分压（Etco2）、脉搏血氧饱和度（Spo2）和血压突然下降。血气分析显示动脉血二氧化碳分压（PaCO2）和呼气末二氧化碳分压之间存在显著差异。患者很快康复并在手术室拔管。术后过程顺利。监测呼气末二氧化碳分压对早期发现空气栓塞有效。
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