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超聲監(jiān)測(cè)氣體栓子在宮腔鏡手術(shù)中的應(yīng)用

發(fā)布時(shí)間:2018-03-05 06:15

  本文選題:氣體栓子 切入點(diǎn):超聲監(jiān)測(cè) 出處:《臨床麻醉學(xué)雜志》2015年01期  論文類型:期刊論文


【摘要】:正宮腔鏡手術(shù)常見并發(fā)癥有子宮穿孔、出血、感染、灌注液過(guò)量吸收綜合征和氣體栓塞[1],其中氣體栓塞起病突然且處理極端困難,一旦發(fā)生,常導(dǎo)致死亡或重度傷殘。如何及時(shí)發(fā)現(xiàn)氣栓并及早處理對(duì)改善預(yù)后有重要意義,有研究使用多普勒、心內(nèi)穿刺、食管超聲等方法確診氣體栓子,但多數(shù)診斷滯后且有創(chuàng)傷。本研究對(duì)102例宮腔鏡手術(shù)患者進(jìn)行持續(xù)超聲監(jiān)測(cè),評(píng)估超聲監(jiān)測(cè)氣體栓子在宮腔鏡手術(shù)中的臨床意義。資料與方法
[Abstract]:Common complications of hysteroscopic surgery include uterine perforation, bleeding, infection, fluid overabsorption syndrome, and gas embolism [1], in which gas embolism begins suddenly and is extremely difficult to deal with. Often lead to death or severe disability. How to timely find gas embolus and early treatment to improve the prognosis, there is research using Doppler, intracardiac puncture, esophageal ultrasound and other methods to determine the gas embolus, In this study, 102 patients undergoing hysteroscopic surgery were monitored by continuous ultrasound to evaluate the clinical significance of ultrasonic monitoring of gas emboli in hysteroscopic surgery. Data and methods
【作者單位】: 河南省人民醫(yī)院內(nèi)鏡中心;
【基金】:河南省醫(yī)學(xué)科技攻關(guān)項(xiàng)目(編號(hào):201203136)
【分類號(hào)】:R713

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