经肛直肠系膜全切除术(TaTME)中二氧化碳栓塞2例报告

IF 0.1 Q4 ANESTHESIOLOGY
O. Lempereur, E. Decker, J. Joris
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引用次数: 0

摘要

经肛门全肠系膜切除术(TaTME)是一种治疗直肠癌的新方法,需要经肛门二氧化碳(CO2)高流量充气来创造一个工作场所。2例计划行TaTME的患者在与前列腺接触的前肠系膜剥离过程中发生CO2栓塞。CO2栓塞导致潮末CO2突然下降,一名患者在此之前短暂升高,并导致氧饱和度下降。血流动力学改变轻微。我们报告了这两个病例,并讨论了CO2栓塞的病理生理学和在TaTME期间促进CO2栓塞的危险因素,以警告麻醉师注意这种严重的并发症,通常是意想不到的和误诊的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Carbon dioxide embolism during transanal total mesorectal excision (TaTME): two case reports
Transanal total mesorectal excision (TaTME), a new approach for rectal cancers, requires transanal carbon dioxide (CO2) high-flow insufflation to create a workplace. Two patients scheduled for TaTME experienced CO2 embolism during the anterior mesorectal dissection in contact with the prostate. CO2 embolism resulted in a sudden drop of end-tidal CO2, preceded by a short increase in one patient, and in oxygen desaturation. Hemodynamic alterations were minor. We report these two cases and discuss the pathophysiology of CO2 embolism and risk factors that promote CO2 embolism during TaTME to warn anesthetists of this serious complication, often unexpected and misdiagnosed.
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来源期刊
CiteScore
0.20
自引率
0.00%
发文量
2
期刊介绍: L’Acta Anaesthesiologica Belgica est le journal de la SBAR, publié 4 fois par an. L’Acta a été publié pour la première fois en 1950. Depuis 1973 l’Acta est publié dans la langue Anglaise, ce qui a été résulté à un rayonnement plus internationaux. Depuis lors l’Acta est devenu un journal à ne pas manquer dans le domaine d’Anesthésie Belge, offrant e.a. les textes du congrès annuel, les Research Meetings, … Vous en trouvez aussi les dates des Research Meetings, du congrès annuel et des autres réunions.
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