摘要
目的探讨1例内镜下逆行胰胆管造影(ERCP)术中并发空气栓塞的病例的临床特点,并结合相关文献进行分析。方法选择2019年6月18日于全身麻醉下行ERCP术中并发空气栓塞的患者1例为研究对象,采用回顾性方法,分析其临床病历资料,主要包括术中并发空气栓塞的危险因素、发病机制、临床表现、治疗及预后。检索中国知网、万方、PubMed等数据库中关于ERCP术中并发空气栓塞的相关文献,并进行分析总结。结果共检索到27篇病例报告文献,共计纳入27例患者,对文献数据进行一般描述性统计分析,其中死亡率55.6%(15/27),致残率55.6%(15/27)。结论ERCP术中并发空气栓塞并发症的死亡率高,预后差,麻醉医师在临床工作中需提高对ERCP术中罕见并发症空气栓塞的认识和诊断、治疗水平。
Objective To investigate the clinical characteristics of a case of complication air embolism during ERCP,and to analyze the relevant literature.Methods One patient complicated with air embolism during ERCP operation under general anesthesia in our hospital on June 18,2019 was selected as the study object,and the clinical medical records were analyzed retrospectively,mainly including the risk factors,pathogenesis,clinical manifestations,treatment and prognosis of complicated air embolism during operation.Literature related to air embolism in ERCP operation was searched in CNKI,Wanfang,PubMed and other databases,and was analyzed and summarized.Results A total of 27 case report documents was retrieved,and a total of 27 patients were included.The general descriptive statistical analysis of the literature data showed that the mortality rate was 55.6%(15/27)and the disability rate was 55.6%(15/27).Conclusion The mortality rate of complications of air embolism during ERCP operation is high and the prognosis is poor.Therefore,anesthesiologists should improve their understanding,diagnosis and treatment of rare complications of air embolism during ERCP operation.
作者
包凯蓓
郑丹倩
池信锦
BAO Kaibei;ZHENG Danqian;CHI Xinjin(he Seventh Affiliated Hospital of Sun Yat-Sen University,Shenzhen 518017,China)
出处
《现代医院》
2019年第12期1830-1834,共5页
Modern Hospitals
