组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2016, Vol. 12 ›› Issue (2): 137-140.doi: 10.3969/j.issn.1673-0364.2016.02.014

• 综述 • 上一篇    下一篇

无水乙醇血管内治疗所致重大心肺并发症的研究现状与焦点问题

华晨，金云波，杨希，王天佑，邹运，林晓曦   

  1. 上海交通大学医学院附属第九人民医院整复外科
  • 发布日期:2020-07-23

Cardiovascular Collapse Caused by Absolute Ethanol Sclerotherapy：Current Knowledge and Focus

HUA Chen,JIN Yunbo,YANG Xi,WANG Tianyou,ZOU Yun,LIN Xiaoxi   

  • Published:2020-07-23

摘要： 无水乙醇血管内治疗是目前针对颅外脉管畸形最有效的治疗方法,心肺衰竭是其最严重的致死性并发症,也是阻碍该技术开展的重要原因。目前,对于该技术导致的心肺衰竭的临床特点及发生机制尚存争议。我们回顾现有文献中涉及的可能的发生机制,如肺动脉高压、肺血栓、心脏抑制等,关注其发病特点、发生时机、无水乙醇用量、发生预测、预防措施等焦点问题,对上述内容进行系统性综述。

关键词: 乙醇, 脉管畸形, 心肺衰竭

Abstract: Intravascular administration of absolute ethanol is the most effective treatment for vascular malformation. However, catastrophic cardiovascular collapse, although rare but fatal, may occurred during the procedure. At present, the clinical characteristics and pathogenesis of this fatal complication are still controversial. Vital aspects which may involved in the pathogenesis: pulmonary hypertension, pulmonary embolism, cardiac depression were reviewed. And the clinical characteristics of the reported cases, focusing on the timing, the dosage of ethanol, prediction and prevention were also reviewed systematically.

Key words: Ethanol, Vascular malformation, Cardiopulmonary

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