Toivonen H J, Sipponen J, Heikkilä L
Department of Anaesthesia, University of Helsinki, Finland.
Acta Anaesthesiol Scand. 1999 Jan;43(1):111-4. doi: 10.1034/j.1399-6576.1999.430124.x.
A 71-year-old patient suffered a massive pulmonary tumor embolism during removal of a renal carcinoma. He had extensive invasive monitoring, and the data were stored for later analysis. This shows that most of the known signs of pulmonary embolism were present in the tracings. It is discussed how none of them alone was sufficient for clinical diagnosis, but the comparison of several simultaneous variables together may be of great help. This report shows also the importance of the data-storing devices in the anesthesia monitors to make these comparisons possible in quickly changing emergency situations.
一名71岁的患者在肾癌切除过程中发生了巨大的肺肿瘤栓塞。他进行了广泛的侵入性监测，并存储了数据以供后续分析。这表明在记录中存在大多数已知的肺栓塞迹象。文中讨论了单独任何一个迹象都不足以进行临床诊断，但同时比较几个变量可能会有很大帮助。本报告还显示了麻醉监测仪中数据存储设备的重要性，以便在快速变化的紧急情况下进行这些比较。
