上海口腔医学

上海口腔医学 ›› 2016, Vol. 25 ›› Issue (4): 511-512.

• 病例报告 • 上一篇    

动静脉畸形患者无水乙醇栓塞后发生循环抑制和溶血反应1例报告

蔡美华1, 苏立新2, 仇琳1   

  1. 1.上海交通大学医学院附属第九人民医院 麻醉科, 上海 200011; 2.上海交通大学医学院附属第九人民医院·口腔医学院 口腔颌面-头颈肿瘤科,上海 200011
  • 收稿日期:2015-05-29 出版日期:2016-08-25 发布日期:2016-09-06
  • 通讯作者: 仇琳,E-mail:jolin_ql@163.com
  • 作者简介:蔡美华（1981-）,女,硕士研究生,

Cardiovascular depression and intravascular hemolysis secondary to ethanol injection for arteriovenous malformation

CAI Mei-hua1, SU Li-xin2, QIU Lin1   

  1. 1.Department of Anesthesiology, 2.Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China
  • Received:2015-05-29 Online:2016-08-25 Published:2016-09-06

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摘要： 无水乙醇在动静脉畸形硬化剂治疗中最为有效,但在临床使用过程中的风险也较大。本文报告1例无水乙醇治疗后出现血红蛋白尿和循环抑制的患者,并对其治疗过程进行总结和讨论,提出谨慎选择无水乙醇治疗剂量和加强实时监测,以提高治疗安全性。

关键词: 无水乙醇, 动静脉畸形, 溶血反应, 循环抑制, 麻醉

Abstract: Ethanol is the only liquid embolization agent which can cure arteriovenous malformation. Complications of ethanol embolization are not rare including local tissue injury, intravascular hemolysis and cardiovascular depression even collapse, etc. This report presented a case of long time cardiovascular depression and intravascular hemolysis secondary to ethanol embolotherapy of right ear. In order to avoid the fatal complications that are associated with ethanol sclerotherapy, anesthesiologists should consider the use of continuously invasive hemodynamic monitoring while surgeons should carefully choose the dose of ethanol.

Key words: Ethanol, Arteriovenous malformation, Intravascular hemolysis, Circulation depression, Anesthesia

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