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Open Access Article

International Journal of Clinical Research. 2026; 10: (4) ; 65-68 ; DOI: 10.12208/j.ijcr.20260185.

Experience in the diagnosis and treatment of a case of carbon dioxide embolism during laparoscopic gynecological surgery
一例腹腔镜妇科手术中二氧化碳气体栓塞的诊治体会

作者: 王皓东, 贺蛟龙 *

湖南湘西自治州人民医院重症医学科 湖南吉首

*通讯作者: 贺蛟龙,单位:湖南湘西自治州人民医院重症医学科 湖南吉首 ;

发布时间: 2026-04-28 总浏览量: 117

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。

关键词: 病例报告;气体栓塞;腹腔镜手术

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.

Key words: Case report; Gas embolism; Laparoscopic surgery

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引用本文

王皓东, 贺蛟龙, 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.