一例腹腔镜妇科手术中二氧化碳气体栓塞的诊治体会

Experience in the diagnosis and treatment of a case of carbon dioxide embolism during laparoscopic gynecological surgery

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DOI 10.12208/j.ijcr.20260185
刊名
International Journal of Clinical Research
年,卷(期) 2026, 10(4)
作者
作者单位

湖南湘西自治州人民医院重症医学科 湖南吉首;

摘要
报道一例二氧化碳气体栓塞的病例,并探讨其可能机制。患者为68岁女性,外阴肿物脱出3年,加重1月余入院,行腹腔镜下右附件切除术建立二氧化碳气腹时气体栓塞。临床应警惕建立二氧化碳气腹时气体栓塞风险,规范完善气腹建立流程可有效规避风险。
Abstract
A case of carbon dioxide (CO₂) gas embolism is reported, and its possible underlying mechanisms are discussed. The patient was a 68-year-old woman who had experienced prolapse of a vulvar mass for three years, with worsening symptoms for more than one month before admission. During laparoscopic right adnexectomy, CO₂ pneumoperitoneum was established, at which point gas embolism occurred. Clinicians should remain alert to the risk of CO₂ gas embolism during the creation of pneumoperitoneum. Standardizing and optimizing pneumoperitoneum establishment procedures may effectively reduce this risk.
关键词
病例报告;气体栓塞;腹腔镜手术
KeyWord
Case report; Gas embolism; Laparoscopic surgery
基金项目
页码 65-68
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贺蛟龙, 王皓东. 一例腹腔镜妇科手术中二氧化碳气体栓塞的诊治体会 [J]. 国际临床研究杂志. 2026; 10; (4). 65 - 68.

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